HomeMy WebLinkAbout627 WILLIAMS ST. BUSINESS PLAN & INVENTORY PROGRAM 6-3-2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
H _q K. C r. R 5 F J \, i)
F /RE
9 ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
l
INSPECTION DATE INSPECTION TIME
ADDRESS
APPROPRIATE PERMIT ON HAND
PHONE NO. {
y
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
o9i I? to-3
Consent to Inspect Name /Title
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
X1,1 a _ bfl-t Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
c V C= Compliance OPERATION
V= Violation
COMMENTS
El APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
CJ BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
ET VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
0 VERIFICATION OF QUANTITIES CCR: 2729.4)
91 VERIFICATION OF LOCATION CCR: 2729.2)
0' PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
127 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
0 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
1] VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
0 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
0- CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
0 HOUSEKEEPING CFC: 304.1)
P1 FIRE PROTECTION CFC: 903 & 906)
0' SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signat re ofRecei)t/^`
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
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
r--
e (tfiat all v1 ftdffs -ha corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink Prevention Services Copy PD2155 (Rev 12/11)