HomeMy WebLinkAbout8605 CAMINO MEDIA_ADEPT DENTAL HMBP 6.7.12UNIFIED PROGRAM INSPECTION CHECKLIST]
SECTION i e Business Plan and Inventory Program
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OfFf
R. S -F I H D
FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
d
IN PECTION DATE INSPECTION TIME
COMMENTS
t 7-- Zc,r
ADDRESS t (1 /
V
PHONE NO. NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
FACILITY CONTACT BUSINESS ID NUMBER
VISIBLE ADDRESS
Consent to Inspect Name/Title —4-- Jl 40(
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C d Q C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
I BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
CP7" VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
CLIP
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
LEI VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
f CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
I HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
M- SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Recei't
nom
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
While — Business Copy Yellow — Business Copy to be Sent in aller return to Compliance
Ignature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FI)2155 (Rev 12/1 1)