HomeMy WebLinkAbout9901 HOGEMANUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
Fl_ E R S P I R L D
FIRE
ARTN T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION DATE INSPECTION TIME
s L 1 'j c, 57c) t ?_.
APPROPRIATE PERMIT ON HAND
ADDRESS
iq 0
PHONE NO. NO OF EMPLOYEES
tea .
Cc a s
0 El
FACILITY CONTACT r-
CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
0b CORRECT OCCUPANCY
Consent to Inspect Name/Title
El.
Section 1: Business Plan and Inventory Program
0 ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C =Compliance) OPERATION
V= Violation
COMMENTS
D APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
a Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Cc a s
0 El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
0b CORRECT OCCUPANCY CBC: 401)
El. VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
b, VERIFICATION OF QUANTITIES CCR: 2729.4)
0 VERIFICATION OF LOCATION CCR: 2729.2)
o PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
0— VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)..3
D' VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1 1 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
El CONTAINERS PROPERLY LABELED CCR: 66262.34(17, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
5= FIRE PROTECTION CFC: 903 & 906)
D' SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES G) NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting all ofthe 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)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
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