HomeMy WebLinkAboutHMBP 5/26/2017FACILITY NAME I
INSPE BTION DATE I
INSPECTION TIME
ADDRESS e P
PHONE NO. N
NO OF EMPLOYEES
FACILITY CONTACT „:. B
BUSINESS ID NUMBER
onsent to Inspect Name/Title
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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 page to: � .. '; . .
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Bakersfield Fire Dept. Prevention Services 2101 H Street California 93301 Date
White — Business Copy Yellow — Station Copy Pinl — Prevention Services
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ROUTINE El COMBINED El JOINTAGENCY 1771 MULTI - AGENCY El COMPLAINT E] RE- INSPECTION
C V C= Compliance OPERATION CERS COMMENT V =violation; 1,11 Minor Violation
APPROPRIATE PERMIT ON HAND (B C: 15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505. 1, B C: 15.52.020) z
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
(CCR: 2729.4) VERIFICATION OF QUANTITIES 1010006
, VERIFICATION OF LOCATION (CCR: 2729.2)
ROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(, CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
PROTECTION (CFC: 903 & 906) 3030032
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1010005 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? O)YES ❑ NO Shif4ature ofRe
Explain: h:. � ...^ueaM . iY�� . s .+� � t. .
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FD2155 (Rev 8//14)
Explain: h:. � ...^ueaM . iY�� . s .+� � t. .
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Signature (. . f s., tn . .h
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FD2155 (Rev 8//14)