HomeMy WebLinkAbout5401 stockdale bp 8-27-13KERN BUSINESS FORMS - (661) 325 -5818 - #6013
BAKERSFIELD FIRE DE11q
� . Prevent on ear ces,- ,
�1NECOJA CCLIUNIFIED PR VS N
Hstree
FIR t
TA/ T B:ake" rsfi
eld; CA=93301 ` ..
SECTION .1; business Plan aid Inventory�Program W, 761.: (661)3.26 =3979
Fax: (661),8512 2,171
FACILITY NAME . INSPECTION DATE, INSPECTION TIME
ADDRESS, PH.O.NE';NO. ' NO OF EMPLOYEES'
BUSINESS 1D NUMBER
FACILITY CONTACT
Consent to Inspect a'me/ itle. t'.
.. x n a � w.
....... a r. .:: ... i ..
:..e. ... P ....nee..
�,,..h.. „c,r. , . ,. :xd• .. , :, ....... .':.q ,.... .,: t. ^3,. ? .�
xw ,._: . r � ,, � . w 1'1'1 +., �,
n lnuentor Pro ra
n ss ?.Plarl::a d
e
� � r � .
-.
�..v...:
El "" ROUTINE COMBINED ❑ JOINT AGENCY _ El MULTI= AGENCY: '❑ COMPLAINT" ❑ RE- INSPECTION
C V
C= Compliance.
C ) OPERATION.
COMMENTS
V =Violation
❑ ❑
APPROPRIATE P.ERMIT'ON HAND
(BMC: 15:65.080)
❑ -
Busines PLAN CONTACT INFORMATION: ACCURATE (CCR: 2729.1)
.`❑
VISIBLE ADDRESS
(CFC: 505..1, BMC: 15:52.020)
❑'
CORRECT OCCUPANCY
(CBC: 401:).
❑
VERIFICATION OF INVENTORYMATERIALS:
(CCR: 2729:3)
❑
VERIFI.tATION-OF,QUANTITIES
(CCR: 2729.4) '
j El
VERIFICATION OF LOCATION'
(CCR: ,2729:2)
❑
PROPER SEGREGATION OF�MATERIAL
(CFC: 2704A)_
❑
VERIFICATION OFMSDS AVAILABILITY
(CCR: 2729 2(3)(b)) '
` ❑
VERIFICATION OF HAZ MAT TRAINING "
(CCR: 2732)
❑ ` ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR2731(c))'
�� ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ :. El
CONTAINERS PROPERLY :LABE.LED /
(CCR: 66262.34(f), CFC: 2703:5)
0 HQU.SEKEEPING '
(CFC 304..1)
i J "� ??7
❑
: FIRE`PROT'ECTION ..
(CFC: 903 & 906)
r
S hq
❑,
SITE bIAGRAM "ADEQUATE.& ON HAND
(CCR: 2729:2)
r,
.ANY 'HAZARDOUS WASTE:,:O'N 'S ❑ YES ..: , NO
'Signatu ofReceipt
r
Expla:1n,:
NSPECTION INSTRUCTIONS•
POST I ,
Correct;the violations) noted above: by Signature (that all violations have been corrected as noted)
Vxrrh;n s faax,c'r%f nnrrect;nu a1L�f:the violations: slsn and return a.copy of this page to: