HomeMy WebLinkAbout4101 UNION AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
JR S F 1 2 DARF
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECT ON DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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
APPROPRIATE PERMIT ON BAND BMC: 1.65.080) If
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) A
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
L
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 CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
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? YES NO Signature ofReceiat
Explain:
POST INSPECTION INSTRUCTIONS:
Refer 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 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in aller relum to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
d :
ARTM
R S F I H U
FIRE
D T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
bS o"c C
INSPEC ION DATE
q 17m
INSPECTION TIME
s rc
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
Is_
ADDRESS RRAkOk ( `.. '
PHON `E NO.
3Z9 -911:5
CCR: 2729.1)
NO OF EMPLOYEES
7PTV
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT t 20N-
BUSINESS ID NUM ER
a1 <_' C):6- sue 10420
Consent to Inspect Name /Title
e
VERIFICATION OF QUANTITIES
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
LST APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
l VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC: 401)
Cd' VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
e
VERIFICATION OF QUANTITIES CCR: 2729.4)
Q! VERIFICATION OF LOCATION CCR: 2729.2)
V PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
V11 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
V CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
ip/ El HOUSEKEEPING CFC: 304.1)
Q FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El YES VNO Signature ofReKEi t•
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report [or 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 H Street, California 93301
Signature (th t all v a Ions have een corrected as noted)
Date
While — Business Copy Yellow— BUSInCSS Copy to be Sent in aller return to Compliance Pink Prevention Services Copy I'D2155 (Rev 12/11)