HomeMy WebLinkAboutUPI CHECKLIST. BAKERSFIELD FIRE DEPARTMENT
UNIFIED PROGRAM INSPECTION CHECKLIST g LRT L..,D
Prevention Services Division.
2101 H Street:
T Bakersfield, CA 93301
Underground Storage Tank Program Phone: 66.1-326-3979
Fax : 661-8.52-2171
NOTICE TO COMPLY / SUMMARY OF VIOLATIONS`
MINOR VIOLATIONS
Owner /Operator: s`z.�C 5 5
Pacilit s .� - 01 A:_ .`.5c, , s
Address: 70 .S ,�,)
There were NO violations observed during this inspection.
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Notice to Com� ly. Minor Violations were found during this inspection as .
` P noted in the following
® Summary of Violations.
The violations indicated in this inspection report must be corrected within. 30 days,. unless
otherwise noted.
Formal enforcement may be initiated for any violations noted, and for thos not corrected in a
timely manner. This report does not represent that there are no other violations at this facility. A.
re- inspection may occur to determine compliance status.
'SUMMARY OF VIOLATIONS
Item REQUIREMENT. FOR CORRECTION OF DATE FOR.
VIOLATION VIOLATION.. CORRECTION
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Signature: ',-
by:
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Print Name:
Print Name:
Date: ,�� I ���
Dater
0% - M -r®V -I Ar'^wo nc ®c-re 10A1 Tr% rtnRAD1 1®Nli'_F
.I certify that the violations noted above. on this Notice to Comply /Summary of Vio
corrected. I have personally examined any documentation attached to the certification
the violations have been corrected.
ations have been
to establish that
Signature:
Title:
Print Name:
Date:
KPS #8446 �.
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4-^ ke moo.,+ fiirn_tn_(.mmnlinncP Pink — Prevention Services Copy
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KERN:BUSINESS FORMS - (661) 325 - 5818 - #6013
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❑- ROUTINE COMBINED ❑ JOINT AGENCY ❑ "MULTI- AGENCY ❑ COMPLAINT
AKERSFIELD: FIRE DEPT.
reven on
ti Services.
UNIFIED PROGRAM INSPECTION CHECKLIST
... E...R S.F,I CD
101 H Street
C =Compliance:
C V ( ) OPERATION
V= Violation
FIRE
ARTM T :
akersfield; GA 93301'
" S E C 1' I O N .1 :. BUS111 @SS Plan and inventory PrO�fa�Yl , "
el.'::> (6.61) 326 =3979
�. ❑ Bus eSS PLAN CONTACT INFORMATION ACCURATE ':(CCR: 2729.1)
Fax: ` (661) 852 -2171
FACILITY NAME -
�
INSPECTIO
DATE
INSPECTION TIME
. 6 i" Er i, i . a
e
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VERIFI'CATION.OF INVENTORY MATERIALS _(CCR: 2729.3)
ADDRESS
{
1
PHONE NO
❑ VERIFICATION OF QUANTITIES. (CCR: 2729.4).
NO OF EMPLOYEES
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
FACILITY CONTACT
BUSINESS
D- NUMBE
...
�( ❑ VERIFICATION OF MSDS AVAILABILITY. ` (CCR: 2729.2(3)(b))
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-
Consent to Inspect Name /Title
❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
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❑- ROUTINE COMBINED ❑ JOINT AGENCY ❑ "MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C =Compliance:
C V ( ) OPERATION
V= Violation
COMMENTS.
„p APPROPRIATE PERMIT ON.HAND , (BMC: 1.5.65.080)
�. ❑ Bus eSS PLAN CONTACT INFORMATION ACCURATE ':(CCR: 2729.1)
i
❑ VISIBLE-At)DRESS (CFC`. 505.1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY (CBC: 401)
VERIFI'CATION.OF INVENTORY MATERIALS _(CCR: 2729.3)
{
1
❑ VERIFICATION OF QUANTITIES. (CCR: 2729.4).
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ 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))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
.�❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
A
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
I
ANY HAZARDOUS WASTE ON SITE? ,AYES" ❑ NO
Si nature oweceipt
ov
!
Explain:
POST INSPECTION INSTRUCTIONS:
the violations noted above b X"- Signature (that al'
Correct O Y
• Within 5 days of correcting all of the violations, -sign and return a copy of this page to:.
violations have been corrected as noted),