HomeMy WebLinkAbout5609 NEW HORIZON_HMBP 6.7.12UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Business Plan and Inventory Program
iDf?
g. s F i e _ n
F /R@
ARTM V
BAKERSFIELD FIRE DEPT.
Prevention Service_ s
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME _
0 v F? ,' % F"2/dvt / C 7i 7y1 c,.J INSPECTION DATE
t'_ 7
INSPECTION TIME
ADDRESS
6 U i U v /'rz t U
PHONE NO.
g5 z It I
NO OF EMPLOYEES
FACILITY CONTACT
BMC: 1.65.080)
BUSINESS ID NUMBER
BUSINESS PLAN CONTACT INFORMATION ACCURATE
G7>4 ,
VISIBLE ADDRESS
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
c V Q C= Compliance OPERATION
V= Violation
COMMENTS
Xz APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
L I VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Z VERIFICATION OF QUANTITIES CCR: 2729.4)
Z VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
DA
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
O VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
D VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EO EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
12 CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
D FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES NO Signatu eof-Rl—ecei t
Explain:
P0S "1' INSPEC'1'10N INS'FRUC11ONS: / p 1 -ARefertothebackofthisinspectionreportforregulatorycitationsandcorrectiveactions7
Correct the violation(s) noted above by Signature (that A violations have been corrected as noted)
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 4o t
Date
While — Business Copy Yellow — Business Copy to be Sent in after return to Compliance . Pink Prevention Services Copy FD2155 (Rev 12/11)