HomeMy WebLinkAbout2215 TRUXTUN AVE HMBP 6.16.14UNIFIED PROGRAM INSPECTION CHECKLIST
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��JN�nA+ME
( C= Compliance OPERATION
V= Violation
Sec #eon 1: Business Plan and Inventory Program
INSPECTION DA,1TE
INSPECTION TIME
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
ADDRESS
/ 7
VISIBLE ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY yCONTACT
CORRECT OCCUPANCY
/ ) (n�.
BUSINESS ID NUMBER
Consent to Inspect Name/Title
VERIFICATION OF INVENTORY MATERIALS
C V
( C= Compliance OPERATION
V= Violation
Sec #eon 1: Business Plan and Inventory Program
COMMENTS
i
❑
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V
( C= Compliance OPERATION
V= Violation
COMMENTS
i
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
BUSIf12S5 PLAN CONTACT INFORMATION ACCURATE (CCR: 2729:1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
I /
1I ,I /U CC. �r- �� C&.
E]
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
O / ��
�`6 1
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
ri ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
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)
Eb ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
t ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
?
i
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
APY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
I
Signature of Receipt
Explain:
-
f
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
U
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155(Rev 6 //1 n)