HomeMy WebLinkAbout602 34THUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B_ E R S F I L D
FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 8S2 -2171
FACILITY NAME / INSPECTION DATE INSPECTION.TIME
ADDRESS -
34 PHONE NO. NO OF EM,LOYEES
FACILITY CONTACT BUSINESS ID NUMBER
i 1! -- o
Consent to Inspect Name/Title
3 CORRECT OCCUPANCY CBC:401)
Section.1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation COMMENTS
ge O APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
BUSIneSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
2'' VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3 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)
D,'_E] VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
01_ VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
El,'- El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
3 % EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
EK HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 1E =YES NO Signatufe of ece' t j
Explain:
I US'C INSPEC'I'IUN INS7'RUC'1'10NS:
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
LW-A
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)