HomeMy WebLinkAbout125 V ST HMBP 2.19.14KERN BUSINESS FORMS - 166113255018 -M13
UNIFIED PROGRAM INSPECTION CHECKLIST
FIRE
IIIIIIIII
ARTN T
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE
INSPECTION TIME
Al' n
9
' 1
1 OSD
PHONE NO.
NO OF EMPLOYEES
ADDRESS
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
-1 AJJe
., A
0 1— 177_;o
Consent to Inspect Name /Title
AI e 'G
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Section 1: Business Plan and Inventory Program
ROUTINE ❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( - compliance) OPERATION
V= Violation
COMMENTS
9
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.060)
DR
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
r2"
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Ir
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
W
❑
PROPER SEGREGATION OF MATERIAL
(CFC:2704.1)
0'
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
2r
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
16
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.340, CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
if
❑
FIRE PROTECTION
(CFC: 903 & 906)
g`-
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? WYES
❑ NO
Signature of eei
Explain:p(�
FfCvCI
£ 6 A r7 tom^
POST INSPECTION INSTRUCTIONS:
• 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: