HomeMy WebLinkAbout107 LAKE ST HMBP 6.4.14113DH J Cis "o
i BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST 2 a R S r_I p Prevention Services
FIRE ake H Street
--� -gym. o aare[ � Bakersfield, CA 93301
SECTION 1. Business Plan and Invento Pr rr;m Tel.: (661) 26- 39979'-
Fax: (661) 852 -2171
FACILITY NAME t""t
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INSPECTION DATE
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INSPECTION TIME
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
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ADDRESS _
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PHONE NO. 7 (rl
NO OF LOYEES
FACILITY CONTACT I,—
BUSINESS SID NUMBER
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Consent to Inspect Name/Title
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
Signalture (fhat all violations have been corrected as noted)
(,P- ° (-- i'l
White — Business Copy. Yellow — Business Copy to be Sent in after return to Compliance Pink —: Prevention Services Copy PD2155(Rev 6 1/10)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C= Compliance OPERATION
V= Violation
COMMENTS
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
1K
D ❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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VISIBLEADDRESS } (CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
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❑' ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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VERIFICATION OF LOCATION
(CCR: 2729.2)
_,w'❑
PROPER SEGREGATION OF MATERIAL
(CFO: 2704.1)
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,2 ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑� ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
[7 ❑
HOUSEKEEPING
(CFC: 304.1)
Qf ❑
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FIRE PROTECTION
(CFC: 903 & 906)
IJ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Siena[pre of Receipt
Explain:
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
Signalture (fhat all violations have been corrected as noted)
(,P- ° (-- i'l
White — Business Copy. Yellow — Business Copy to be Sent in after return to Compliance Pink —: Prevention Services Copy PD2155(Rev 6 1/10)