HomeMy WebLinkAbout601 GOLDEN STATE HMBP 6.10.15UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
FACILITY CONTACT
Name /Title
eR SFt o
F /R6
ARlM
BAKERSFIELD k LL,.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
POST INSPECTION INS1RUC'1'10N5:
Refer to the back of this inspection report for regulatory citations and corrective actions
• Correct the violation(s) noted above by Sigoature (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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11 )
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C
V
( c= Compliance) OPERATION
V= Violation
COMMENTS
{X
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
Q(
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
El
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
is
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Q
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
KI
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(8))
El
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
,F41
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
12i
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5
(2
❑
HOUSEKEEPING
(CFC: 304.1)
❑
or
FIRE PROTECTION
(CFC: 903 & 906)
t
10
❑
SITE DIAGRAM ADEQUATE & ON HAND
{CCR: 2729.2)
ANY
HAZARDOUS WASTE ON SITE? 11 YES
❑ NO
of Receipt
Explain:
POST INSPECTION INS1RUC'1'10N5:
Refer to the back of this inspection report for regulatory citations and corrective actions
• Correct the violation(s) noted above by Sigoature (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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11 )