HomeMy WebLinkAbout900 SACRAMENTO_HMBP 5.27.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B_ E R S F I L 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
JGNwC -wE 4e (C)
INSPECTION DATE
5l;7--7 l
INSPECTION TIME
104-15
ADDRESS
00 v,_4o PHONE NO.
7L(- ot-2_
EMPLOYEESNOOF /
0
FACILITY CONTACT
A
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
0 ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY 'COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
0/ APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
r CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
f VERIFICATION OF LOCATION CCR: 2729.2)
l/ PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
l/ VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
f VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Df CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
v FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 04' S
ee- i r J r 6' n
NO Signature of Receipt
i
Explain:
MUST INSPUC77UN INS' RUC77UNS:
Correct the violation(s) noted above by
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
t'
Signature (that all violations have been corre6fed as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy 17132155 (Rev 6010)