HomeMy WebLinkAboutHMBP INSP 5.14.18BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
f
y y3
�3 >. �: I 3 Y I` 3y
INSPECTION DATE
INSPECTION TIME
'�
r ]. } ;'•. 3. l...
;:: 3 ...
Pr,..o ra_:m3-'.
2 .,.,�d`
,'
..::.:. .1 .a:n.d
!
�X .n,i,
k
ADDRESS
❑ COMPLAINT ❑ RE- INSPECTION
PHONE NO.fi
NO OF EMPLOYEES
INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729.1)
g ryp y
FAACILITY CONTACT
VISIBLE
ADDRESS (CFC: 505.1, BMC: 15.52.020)
I
BUSINESS ID NUMBER
Consent to Inspect Name
/Title
v....
:�. )•., ,:.: .:. .a�.Y } ,..,
.., r. ,... ,., ......f , 3'f i' , ,.,. ,} ..:,�� .. .. :.:.:: .. ..:: .'..., �...:. ,,. �,:. ":.. �'
y y3
�3 >. �: I 3 Y I` 3y
A .: "..e.. _... .. .. ;. -.. ::. l.3.. .. _
",.::' .:. >e,. is :. .:
1,:.:.B usiness..P.l.a.n In:uen,to;
r ]. } ;'•. 3. l...
;:: 3 ...
Pr,..o ra_:m3-'.
3=.v ...:...:,.. .s.......3•.
,'
..::.:. .1 .a:n.d
!
�X .n,i,
❑ ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance
V= Violation;
OPERATION
1,11 Minor
C E I�.S
Violation
#I
COMMENT
APPROPRIATE
PERMIT ON HAND (BMC: 15:65.080)
3010
� 01
CERS
INFORMATION ENTERED &UPDATED ANNUALLY (CCR: 2729.1)
3210(43
VISIBLE
ADDRESS (CFC: 505.1, BMC: 15.52.020)
I
CORRECT
OCCUPANCY (CBC: 401)
VERIFICATION
OF INVENTORY MATERIALS (CCR: 2729.3)
I
1010
0 04
VERIFICATION
OF QUANTITIES (CCR: 2729.4)
1010106
VERIFICATION
OF LOCATION (CCR: 2729.2)
PROPER
SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION
OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
V
VERIFICATION
OF HAZ MAT TRAINING (CCR: 2732)
I
1020002
VERIFICATION
OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY
PROCEDURES ADEQUATE (CCR: 2731)
1010(10
CONTAINERS
PROPERLY LABELED (CCR: 66262.34(f , CFC: 2703.5)
3030@07
07
HOUSi
KEEPING (CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030
32
SITE DIAGRAM
ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS
WASTE ON SITE? 171 YES ❑ NO
S iffna t%re
of Recei t
,
Explain:
Inspector:
POST INSPECTION STRUCTIONS•
• Correct the viola ion(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature ((tthaa alliolations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 '� I
Date
White - Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)