HomeMy WebLinkAbout414 21 STREETUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B4 a s r t I
FIRE
ARTM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
c C= Compliance OPERATION
V= Violation
INSPfCTIOq DATE INSPECTION TIME
1-5
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
Z. lam-
BUSINESS PLAN CONTACT INFORMATION ACCURATE
ADDRESS
4 `A a, Sr
V - ` LX_
P/
P O E NO NO OF EMPLOYEES
FACILITY CONTACT
4 1 *I
CORRECT OCCUPANCY
BUSINESS ID NUMBER
mot, s1 o.
VERIFICATION OF INVENTORY MATERIALS
1 o Z z 3
Consent to Inspect Name/Title
9' VERIFICATION OF QUANTITIES CCR: 2729.4) t t
ED/
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINTAGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V c C= Compliance OPERATION
V= Violation
COMMENTS
r.
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
C-" BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) V - ` LX_
P/ VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 1 \
9' VERIFICATION OF QUANTITIES CCR: 2729.4) t t
ED/ VERIFICATION OF LOCATION CCR: 2729.2)
0'f PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
CJ VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
Q1 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? F24S NO SienatureofReceiat
Explain:
C')\ 1 t -mot+ c *C r CiSi -- -- f l' VA [l
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis 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 FI Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Y
Signature (that alLv.iNations have been corrected as noted)
Date
Pink Prevention Services Copy 17D2155 (Rev 12/11)