HomeMy WebLinkAbout908 21 STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
1
INSPECTION TIME
BAKERSFIEL' D FIRE DEPT.
Vi//L
Prevention ServicesjR
iff /R6
s P t e
2101 H Street
TM r Bakersfield, CA 93301
CC `/ e " L`1n5
Tel.: (661) 326 -3979
FACILITY CONTACT
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE) INSPECTION TIME
ir"Xj /i % Vi//L 41// F/
ADDRESS PHONE NO. NO OF EMPLOYEES
l / CC `/ e " L`1n5
Q/
FACILITY CONTACT BUSINESS ID NUMBER
U/ El
Consent to Inspect Name /Title
l
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
9ZEI APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Q/ VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
U/ El CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
Q` VERIFICATION OF LOCATION CCR: 2729.2)
2'` PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
QK VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
Woe VERIFICATION OF HAZ•MAT TRAINING CCR: 2732)
IV VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(17, CFC: 2703.5)
0," HOUSEKEEPING CFC: 304.1)
131-`1 FIRE PROTECTION - CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? , .YES NO SignatureofReeeipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
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 F132155 (Rev 6//10)
i
1
f
t