HomeMy WebLinkAboutHMBP 3/4/2011----,j &A 4-T C
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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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
INSPPEFCTION DATE
INSPECTION TIME
ADDRESS 9 / 0 z- ('^ \ ��5 , 1 f O v, A ( k�
" i �j� 3�\-
PH 0.181 -5
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
E'6 ❑
Business PLAN CONTACT INFORMATION ACCURATE.
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE [3p COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C =Compliance OPERATION
V= Violation
COMMENTS
❑ 1j4
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
.� [j,t w�, i U C: pelf
E'6 ❑
Business PLAN CONTACT INFORMATION ACCURATE.
(CCR: 2729.1)
❑O ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
01J ❑
CORRECT OCCUPANCY
(CBC: 401)
❑O ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
3� ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
121:z:, ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
3'69 ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
off.
3® ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0P ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
I12 ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
05, ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
2) ❑
HOUSEKEEPING
(CFC: 304.1)
R
3o ❑
FIRE PROTECTION
(CFC: 903 & 906)
000
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? OYES ❑
NO
Signature of Receipt
Explain:
a
POS'l' INSPUC'1 ION 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
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signat�e StHat all violations have'b , egin corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev 010)
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