HomeMy WebLinkAboutHMBP INSP 2017BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
�.._R_._s F' 1. -p 2101 H Street
FIRE
ARTM T - Bakersfield, CA 93301 "
SECTION 1: gassiness Plan and Inventory Program
Tel.:- (661) 326- 3979
Fax: (661) 852 -2171
FACILITY NAME g "'
W.: 114 t
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
oq 10
Consent to Inspect Name/Title
.,; � t F S►�C'�.1;Oil 'i . - Business P
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑
MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C' V ( C =Compliance) OPERATION
COMMENTS
V= Violation
❑ APPROPRIATE PERMIT ON HAND (BM C:
15.65.080)
❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
❑ VISIBLE ADDRESS (CFC: 505.1,.BM (,:
15.52.020)
Ck ❑ CORRECT OCCUPANCY
(CBC: 401)
[-1, ❑ VERIFICATION OF INVENTORY MATERIALS (
CR: 2729.3)
Cq.. ❑ VERIFICATION OF QUANTITIES (
CR: 2729.4)
FSL ❑ VERIFICATION OF LOCATION ( (',CR:
2729.2)
a ❑ PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR:
729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
C9 ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (
CR: 2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
( ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703.5)
C ❑ HOUSEKEEPING
(CFC: 304.1)
❑ FIRE PROTECTION (CFC:
903 & 906)
Q ❑ SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES CJ-,N0
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS: i
® Correct the violation(s) noted above by
Signature (that all violations have been corrected as noted)
• 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
Date
White —Business Copy Yellow —Business Copy to be Sent in after return to Compliance
Pink — Prevention Services Copy FD2155 Rev 010