HomeMy WebLinkAbout3621 STOCKDALEUNIFIED PROGRAM INSPECTION CHECKLIST P4 " s F .
FIRE
ARTM T
SECTION 1 Business Plan and Inventory. Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3,979
Fax: (661) 852 -2171
FACILITY NAME - INSPECTI N DATE INSPECTION TIME.
vim L)
COMMENTS
ADDRESS
3G
PHONE NO.
3 7
NO OF EMPLOYEES
Z-1 S z+`
FACILITY CONTACT BUSINESS ID NUMBER_
2 to rte
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: 1 .65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) 2 to rte
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
c 6 77-f - . Z 7- &—; OK
CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
0 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)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED r.' 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 SienatureofReceipt
Explain: .
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by Signature (that all violations,have been corrected as noted)
Within 5 days of correcting all of the violations, sign and return a copy of this page to: IIBakersfieldFireDept., Prevention Services, 2101 H Street, California 93301. l 1 7 / .Z
Date
White —Business Copy _ Yellow = Business Copyto be Sent in after return to Compliance Pink Prevention Services Copy FD21,55 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B N_R_S F 1 D
FIRE
AR TM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v l>JC
v
INSPECTI N DAYE
10,// 7 /z
INSPECTION TIME
ADDRESS PHONE NO.
S d
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Narne/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
pn'/
J N TO
Section 1: Business Plan and Inventory Program
Ur 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)
pn'/
J N TO
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) K
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)(6))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE
i
CCR: 2731)
CONTAINERS PROPERLY LABELED r . 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:
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 ofthe 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)
106 7 /i 2
Date
White — Business Copy Yellow — Business Copyto be Sent in after return to Compliance fink Prevention Services Copy 1`132155 (Rev 12/11)
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