HomeMy WebLinkAbout645 MING AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST 11 -A p_R S F1 P
FIRE
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME ",
C= Compliance OPERATION
V= Violation
INSPECTION DATE INSPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
2 El Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ADDRESS „_ 1
D
PHN_E O. NO OEIEMPLOYEES
CORRECT OCCUPANCY CBC: 401)
FACILITY CONTACT t' w
CCR: 2729.3)
BUSINESS ID NUMBER
1104zr a vv _\ L.4 L Z._-
VERIFICATION OF LOCATION
Consent to Inspect Name /Title
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
Q'
ROUTINE
Section 1: Business Plan and Inventory Program
ET COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
2 El Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
D VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
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)
Q' VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
fZ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
12`' EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(f), CFC: 2703.5)
P' HOUSEKEEPING CFC: 304.1)
Q FIRE PROTECTION CFC: 903 & 906)
Qr SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES a—No SignatureofReceft)
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
r
C - ima'ture (t— hat a(fviolations have been corrected as noted)
1-/z,
Date
White —Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy PD2155 (Rev 6/110)
0•
JNIFIED PROGRAM INSPECTION CHECKLIST
S E C T 0 0 N 1: Business Plan and Inventory Program
IjDfR S_ P 1 L 1. I)
FIRE
Alit TM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME J`,
Section 1: Business Plan and Inventory Program
INS/PECTION DATE INSPECTION TIME
1. t - j 1 G- 5
ADDRESS 1 P ONE O. UMNO LOYEES
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
2t,
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
FACILI .Y CONTACT
CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
CORRECT OCCUPANCY CBC:401)
0'-
aq
CCR: 2729.3)
Consent to Inspect Name /Title
0 VERIFICATION OF QUANTITIES CCR: 2729.4)
POST INSPLCI'ION INS'FRUCI]ONS:
Reber 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 1 -1 Street, California 93301
Signature-(that all violflfmlg'fiaavve been corrected as noted)
1-: / - '7° l ?
Date
White — Business Copy Yellow — Business Copy to be Sent in.aller return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v g C= Compliance OPERATION1
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
p/ BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
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)
0- VERIFICATION OF LOCATION CCR: 2729.2)
Ef' PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
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))
p
t
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
Q FIRE PROTECTION CFC: 903 & 906)
i SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES 1j NO Sip atureofReceipt
Explain:
POST INSPLCI'ION INS'FRUCI]ONS:
Reber 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 1 -1 Street, California 93301
Signature-(that all violflfmlg'fiaavve been corrected as noted)
1-: / - '7° l ?
Date
White — Business Copy Yellow — Business Copy to be Sent in.aller return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLISTI
I I
SECTION 1: Business Plan and Inventory Program I
B I_R- $ I E - T,
nfra R rM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME t f r ; — INSPECTION DATE INSPECTIICbITIME
COMMENTS
e,
ADDRESS t ! i'
PHONE NO. //(
pp5,-j -
NO OF•FMPLOYEES
7t1
FACILITY CONTACT, - ^
Y
BUSINESS ID NUMBER
t
Consent to Inspect Name /Title
VISIBLE ADDRESS
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
e,
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
A BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
V VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
0 El VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
be VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
Lei PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
r VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
0 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
s b CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
0 HOUSEKEEPING CFC: 304.1)
t
FIRE PROTECTION CFC: 903 & 906)
10 SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SiinatureofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report Ior regulatory citations and corrective actions
Correct the violation(s) noted above by Sig atur (that all violations have been corrected as noted) •
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to: ,,,.7 r
Bakersfield Fire Dept., Prevention Services, 2101 1-1 Street, California 93301 „ ttt
Date
White — Business Copy Yellow — Business Copy to be Sent In aller return to Compliance Pink Prevention Services Copy I'D2155 (Rev 12/1 1) '