HomeMy WebLinkAbout9000 MING AVENUE_CHARLES LEE DDS HMBP 6.7.12VA-
UNIFIED PROGRAM INSPECTION CHECKLIST,
SECTION 1: Business Plan and Inventory Program
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FIRE
DfFARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INtEC—TLONIDATE INSPECTION TIME
COMMENTS
ADDRESS pt PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT SUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Vioiation
COMMENTS
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)
1W CORRECT OCCUPANCY CBC:401)
e VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
tom,, VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Alf CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
jff' HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES A NO Sin re ofRecei t
Explain: J
NOS "h INSPECTION INSfRUC17ON5:
Re Per 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 oPthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
VSi
nat re (that aLvollationsi have been corrected as noted)
6 7 i
Date
White — Business Copy Yellow — Business Copy to be Sent in aaer return to Compliance Pink Prevention Services Copy 1'D2155 (Rev 12/11)