HomeMy WebLinkAbout213 BRUNDAGE LANE_HMBP 5.2.12UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: -Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSP TIO DATE INSPECTION TIME
COMMENTS
J°
EC/
APPROPRIATE PERMIT ON HAND
ADDRESS /
il / t.i
NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
EIK
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
ftKROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance a OPERATION
V= Violation
COMMENTS
N APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
tr VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
EIK CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
CEr PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
t VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
2' VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1Er EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
l r CONTAINERS PROPERLY LABELED CCR: 66262.34(1], CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
i u.5 s r• J /
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofReceip d6vCl l C ICS
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakerstie,ld Fire Dept., Prevention Services, 2101 H Street, California 93301
Sign ture (th tt all viilattii7 lave been corrected as noted)
Da- e
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 61/10)