HomeMy WebLinkAboutUPI CHECKLISTKERN BUSINESS FORMS - (661) 325 -5818 - #6013
BAKERSFIELD FIRE DEPT.
Prevention Services
B .:. E..:R. S F . J.:
UNIFIED PROGRAM INSPECT'I`ON LI
CHECKST -2101 H Street
FIR:
ARTY! T : . `Bakersfield, CA 93301
SECTION 'I . BusinetS Plan and Inventory Program . Tel . (661) `'326 -3979
Fax: (661) 852- 2171
FACILITY NAME. -
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO..
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS.I'D NUMBER
Consent jto Ir-, pe,ct Nar e/T 05
`
x: �y ,s
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r' � NT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT - El. RE-INSPECTION
❑ : ROUTINE � COMBINEDH ❑ 'JOINT
C= Compliance
C V ( ) OPERATION
COMMENTS
V= Violation
❑ ❑ APPROPRIATE PERMIT OWHAND (BMC: 15.65c080)
: ❑ Business PLAN'CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15. 52.020)
❑ CORRECT OCCUPANCY (CBC: 401)
�-
J fE] VERIFICATION OF INVENTORY MATERIALS. (CCR: 2729.3)
❑ . VERIFICATION OF QUANTITIES (CCR: 2729.4)
. ❑ . VERIFICATION OF LOCATION (CCR: 2729.2)
�L1 ❑ PROPER SEGREGATION OF.MATERIAL (CFC: 2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
"❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
(D' ❑ EMERGENCY PROCEDURES ADEQUATE : (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR 6626'2.34(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? ❑.YES. NO
Signature;ofReceipt
Explain: "
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: