HomeMy WebLinkAboutUNIFIED INSPECTION CHECK LIST 11-1-2012- 14MU"11614110 No I MI a _ - _ -
SECTION I.: Business Plan and Inventory Program
B_ B R S P I L 1)
FIRE — -
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C 0
V
INSPECTION DATE
�._ 1�
INSPECTION TIME
ADDRESS
-OGI -U
t? vcl4. ��,.�-A15
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
C—J 1 L
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
0
•
❑
Section 1: Business Plan and Inventory Program
A— ROUTINE ❑
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White —Business Copy YelloW — nosiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
V
C= Compliance® OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
C—J 1 L
•
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
0
•
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
LL C(&O T.0 D /n/ Ci;�T S
/'C f�
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
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)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY
HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt�p _
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White —Business Copy YelloW — nosiness Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
UNIFIED �a ®p pp p� y' A' p+ 1� /� �^ 1
UNIFIED PROGRAM INSPECTION ION d�f- ECKLIS A u_ _r__R_s_r_i t I_u
FIRE
-- - =_ - - - - - -: _ —__ � -- - EBARTM T
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
r� -r- Z
INSPECTION TIME
ADDRESS ,
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
rn— ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
Q C= Compliance, OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
T C t� ir✓ 1 ( i
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
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)
❑
❑
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
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
r
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy I'D2155 (Rev 6//10)