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HomeMy WebLinkAbout3400 WHITE LANEUNIFIED .PROGRAM INSPECTION CHECKLIST P. R S P H L D F /RE ARTM T. SECTION I: Business Plan and Inventory Program' BAKERSFIELD FIRE DEPT. Prevention Services 2.101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPE TION D TE INSPECTION TIME COMMENTS ADDRESS 40o 4 t-rc- . .. PHONE NO. 3Z - 4S40 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 HAND BMC:15.65.080) iLL rLT 0A Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) CC t U RCJ ?/ -rJt' VERIFICATION OF QUANTITIES CCR: 2729.4) C`5- 6A-L 7 6AL VERIFICATION OF LOCATION CCR: 2729.2) As tC 1lJ CXt`c FT TGCKQt t PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(0, CFC: 27015) HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? El YES NO Signature of Receipt Explain Viz POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days of correcting all ofthe violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy . Yellow — Business Copy to be Sent inalter return to Compliance Sig r (t at a``atti/ions have been corrected as noted) ' Date Pink — Prevention Services Copy FD2155 (Rev 60 0) UNIFIED PROGRAM INSPECTION .CHECKLIST SECTION 1: Business Plan and Inventory Program D_ ' E R 9 r I E L_D FIRE ARTM T v BAKERSFIELD FIRE DEPT. . Prevention Services 2101 H Street - Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSP`EC DATE INSPECTION TIMETION IC 7141 ft ADDRESS 400 L- 3,-rC 4- , PHONE NO. Sj_ geraU NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER jZAY W tJ TE 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 HAND BMC: 15.65.080)t Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) LCfaC VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) AS PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 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 of Receipt Explain: frl \/ /ci _A-1 POST INSPECTION INSTRUCTIONS: 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 Sign-tvr(tlk all viotions have been corrected as noted) Date White —Business Copy Yellow — Business Copy to be Sent in aller return to Compliance Pink — Prevention Services Copy FD2155 (Rev 600)