HomeMy WebLinkAboutHMBP INSP 2.6.18FAGILITY NAME V
ZZ
INSPECTION D,QTE
INSPECTION TIME
ADDRESS
PHONE N ;
r
NO.OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
� � - �- �
R N
COMPLAINT � RE- IN
" ROUTINE ❑ - COMBINED ❑ JOINT AGENCY ❑ 6MULTI-AGENCY ❑ ❑ SPECTION
C V (C= Compliance, OPERATION
V= Violation
COMMENTS
M, ❑ - APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
s
0 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
[a, ❑ CORRECT OCCUPANCY (CBC: 401)
❑ VERIFICATION OF- INVENTORY MATERIALS (CCR: 2729.3)
[;T ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
1
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
KI ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
2 ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
f,
R " ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
ED ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
I6 ❑ HOUSEKEEPING (CFC: 304.1)
El M FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? " ❑ YES NO
Signature of Receipt .
Explain;
POST INSPECTION INSTRUCTIONS: ,�*°.>
• 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 6//10)