HomeMy WebLinkAbout25 UNION AVE_HMBP INSP 3.11.19(ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY . ❑ COMPLAINT LJ RE INSPECTION -
Fax: (`661) 852- 2171
C !/
C= Compliance
.(= �. ) OPERATIONCOMMENTS
FACILITY NAME.,
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7-/Z
APPROPRIATE..PERMIT ON HAND
INSPECTION DATE -
'INSPECTION- TIME
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52:020)
ADDRESS ' .
CORRECT OCCUPANCY
(CBC: 401)
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PryHONE NO.
NO OF .EMPLOYEES"
FACILITY CONTACT
BUSINESSID'.NUMBER
VERIFICATION OF QUANTITIES
Consent to Inspect'NameLTitle
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VERIFICATION OF LOCATION'
(CCR: 2729.2) -
#� . ❑
PROPERSEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS�AVAILABILITY
(CCR: 2729.2(3)(b))
® ❑
VERIFICATION OF HAZ'MAT TRAINING
(CCR: 2732)
(ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY . ❑ COMPLAINT LJ RE INSPECTION -
C !/
C= Compliance
.(= �. ) OPERATIONCOMMENTS
V =Violation
� ❑
APPROPRIATE..PERMIT ON HAND
(BMC: 15.65.080)
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` BUSIn2SS PLAN'CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
® ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52:020)
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CORRECT OCCUPANCY
(CBC: 401)
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RIFICATION�OF INVENTORY MATERIALS
(CCR: 2729.3)
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Ell
VERIFICATION OF LOCATION'
(CCR: 2729.2) -
#� . ❑
PROPERSEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS�AVAILABILITY
(CCR: 2729.2(3)(b))
® ❑
VERIFICATION OF HAZ'MAT TRAINING
(CCR: 2732)
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OF ABATEMENT -SUPPLIES & PROCEDURES (CCR: 2731(c))
®� ❑
EMERGENCY PROCEDURES - ADEQUATE .
(CCR: 2731)
❑
CONTAINERS PROPERLY-LABELED (CCR: 66262.34(f); CFC: 2703`5)
❑
HOUSEKEEPING
(CFC: 304.1)
�'': ❑
FIRE PROTECTION'
(CFC: 903 & 906)
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® ❑
SITE DIAGRAM ADEQUATE &.ON HAND
(CCR, °2729.2)`�,�r
ANY HAZARDOUS. WASTE ON SITE? ❑ YES . `
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SienatureoAReeeip
- Explain:
�
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
ature`(that, all violations have been corrected as noted)'
• Within 5 days of correcting all of the violations, sign and return�acopy of this page-to:
,
Bakersfield "Fire Dept., .Prevention Services, 2101 H Streei, California
93301
Date`'
ces Copy FD2155 Rev 6//10)
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance. Pink — Prevention Servi (