HomeMy WebLinkAbout KREBS_PESCARAUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
4AMN _ R S F I H L U
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION ATE
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INSPECTION TIME
ADDRESS (
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PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance` / OPERATION
V= Violation
COMMENTS
00 APPROPRIATE PERMIT ON HAND BMC: 15.65.080) U & t v PF-R —i" T 7-C.)
z Business PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) C e C,4TC ACC 2 S
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) n c
7 CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
L \N 4%NWNG4: 17-f-
VERIFICATION OF HAZ MAT TRAINING CCR: 2732) AC p 1 -G
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Apv
EMERGENCY PROCEDURES ADEQUATE CCR: 2731) f
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
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
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
V
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6 / /10)