HomeMy WebLinkAbout4199 UNION AVENUE (3)UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B AW d S F I ._D
FIRE
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BAIR$FItD FIRE DEPT,
Pre. ntift ervices
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME /
L.6
INSPECTION DATE INSPECTION TIME
CC S 8 - iZ j
ADDRESS
Lwok t ie..
PHONE NO.
I - 34 S
NO OF EMPLOYEES
S
FACILITY CONTACT
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BUSINESS ID NUMBER
Consent to Inspect Name /Title
10 1 5 747 3
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation .
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
fi7' VISIBLE ADDRESS CFC: 505.1,.BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
In VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
U '-ice} t 4z'tjltc} .I V1 U
VERIFICATION OF QUANTITIES CCR: 2729.4)
El El VERIFICATION OF LOCATION CCR: 2729.2)
lY1 PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
1Z VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
12 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
le VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
12 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
CY FIRE PROTECTION CFC: 903 & 906)
U SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? IP.YES NO Signature of Receipt
Explain:
1
U C) G t 1
taus r INSPLc I ION INS I Ruc I IONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by M Q rL [ t, Z 1 .2612—
Within 5 days ofcorrecting 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)
2 — — /
Date
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy I'D2155 (Rev 12/11)
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