HomeMy WebLinkAboutHMBP 5/15/2017FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS *"ti
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
Consent to Inspect Name/Title
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI- AGENCY ❑ COMPLAINTI ❑ RE- INSPECTION
C V C=Compliance OPERATION
CERS
V- Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
bBUSINESS
PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
f
.,
VISIBLE ADDRESS (CFC: 505.1, BM
: 15.52.020)
.
Y
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES ( (,CR:
2729.4)
1010006
x
VERIFICATION OF LOCATION (CR:
2729.2)
,
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
'+
VERIFICATION OF SDS AVAILABILITY (CCR:
29.2(3)(b))
*°
,
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
„N
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR.
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010-
~ .... a
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17,
QFC: 2703.5)
`3030007
HOUSEKEEPING
(CFC: 304.1)
.?
FIRE PROTECTION (CFC:
903 & 906)
s ,fix, s
3030032
+,e
& (
SITE DIAGRAM ADEQUATE ON HAND
C: 22.2:
R79 )
1010005
ANY HAZARDOUS WASTE ON SITE? 9YES ❑ NO
i nature- ofRecei t
Explain:
j°
f
Inspector:''”
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
White — Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8//14)