HomeMy WebLinkAbout8200 STOCKDALE HWY (10)UNIFIED PROGRAM INSPECTION CHECKLIST' jDf K -3 I I t. I)
FIRE
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SECTION 1: Business Plan and Inventory Program it C:::_
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
tt
INSPECTION DATE
13
INSPECTION TIME
4/0
ADDRESS
g.2 uJ `J Z' c ` \
PHONE NO.
66 1 — III -7 (,7
NO OF EMPLOYEES
jir
FACILITY CONTACT USF 32
NUMBER
rl iI - , , 16
VISIBLE ADDRESS
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
O ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
IJ APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
b BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
0 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
0 VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
El VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
El HOUSEKEEPING CFC: 304.1)
El FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES M NO Signatureo6wermt
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report 1'or regulatory citations and corrective actions
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
Signature (that all violations have been corrected as noted)
C- /?-,—)
Date
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy 17D2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B II R S I? -1, E D
FIRE
Df' ARrME lr
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
7-3e
d C= Compliance) OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
A
APPROPRIATE PERMIT ON HAND
G/ 3- /_ J___
ADDRESS
cJ
BUSINESS PLAN CONTACT INFORMATION ACCURATE
PHONE NO.
01(.
NO OF EMPLOYEES
El VISIBLE ADDRESS
Lt. r _ 3-1
FACILITY CONTACT
Ac
CORRECT OCCUPANCY
BUST ESS ID NUMBER
Consent to Inspect Name /Title
q
I
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C d C= Compliance) OPERATION
V= Violation
COMMENTS
Q APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
D BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
q VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
6J VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
n VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
0 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), 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 t5l, NO 1 Si* atureof IllexeipO
Explain:
POST INSPECTION INS' RUCTIONS:
Refer to the back ol'this inspection report Ior regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days ol'correcting all ol'the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 I -1 Street, California 93301
C—
Sgnature (that all violations have been corrected as noted)
Date
White — 13nSInC55 Copy YeIIOW — Business Copy to be Sent in afler return to Compliance Pink Prevention Services Copy I'D2155 (Rev 12111)
UNIFIED PROGRAM INSPECTION CHECKLIST)
SECTION 1: Business Plan and Inventory Program 1
e
B_ I'_ r R - S ( 1- E _ n
FIRE
DiffARTM T
vvzc_
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
I SPECTION DATE
3 - 12
INSPECTION TIME
ADDRESS
61
PHONE NO.
3-; -7 3u
NO OF EMPLOYEES
FACILITY CONTACT BUSINESqp NUMBER
Consent to Inspect Name /Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
c v Q C= Compliance OPERATION
V= Violation
COMMENTS
61 APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
ID CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
FLI VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
NO CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
I3. FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature ofRecei;
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
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
Signature (that all violations have been corrected as noted)
rte
Date
White —Business Copy Yellow— Business Copyto be Sent in atier return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)