HomeMy WebLinkAbout5350 HAGEMANBAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROG:RAM INSPECTION CHECKLIST. a_ E R SFI
e° 2101 H Street
AMTN T ' Bakersfield, CA 93301
ISECTION : Business. Plan and. Inventory Program Tel.: .(661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME JNS ECTIO DATE INSPECTION TIME
A L w A.Tc- 6. 8
ADDRESS S3
PHONE NO. NO OF EMPLOYEES
So ca, VAACn
CORRECT OCCUPANCY
FACILITY CONTACT BUSINESS ID NUMBER
2z VERIFICATION OF INVENTORY MATERIALS
udzb5 %S
Consent to Inspect Name /Title.
Section 1: Business Plan and,Inventory Program
ROUTINE COMBINED . JOINT AGENCY ' MULTI- AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation /
COMMENTS
Ll APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
15' BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) . C-c D-S . .
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
2z VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)'
VERIFICATION OF LOCATION
t
CCR: 2729:2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
9b VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
C41,,-3 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Q) El CONTAINERS PROPERLY - LABELED (CCR: 66262.34(f , CFC: 2703.5)
vU HOUSEKEEPING CFC: 304.1)
F IRE.. PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Sia"tureof ecei t
Explain:
6teJ1 C5RS z /3 / SuSM, ed
POST INSPECTION INS'FRUC7'IONS: AX
Correct the violation(s) noted above by Signat re (t at all violati ns have been corrected as noted)
Within 5.days of correcting all ofthe violadons,.sign and return a copy of this page to:'
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 201'L_
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)