HomeMy WebLinkAbout2628 MT VERNON AVE HMBP 6.27.14JJ KERN PRINT SERVICES -(661) 325 -5818 - KPS -2215
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UNIFIED PROGRAM INSPECTION CHECKLIST " ' "' " -
F/RE I I
D t
DEYARTM r
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
ADDRESS
-71
Ave
C= Compliance) OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
PHONE
NO OF EMPLOYEES
FACILITY CONTACT
anc�o S
S n
BUSINESS ID NUMBER
❑
Consent to Inspect Name/Title
(CCR: 2729.1)
�C /) A- Z
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
� T toC c_-(c
VA rr'' (AC /
rd
Section 1:
Business Plan and Inventory Program
(CBC:401)
❑ ROUTINE ❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance) OPERATION
V= Violation
COMMENTS ,
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
JO
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
� T toC c_-(c
VA rr'' (AC /
rd
❑
CORRECT OCCUPANCY
(CBC:401)
t S
0
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
L /
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
2
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0
❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
0
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(8))
,0
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
)z
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
E9
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
,3
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
0
❑
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 of this inspection report for regulatory citations and corrective actions 4 — , 1
•
Correct the violation(s) noted above by S
ignaturejth4 all vt'T1alij6h-s�ave been corrected as noted)
Within 5 days of correcting all of the violations. sign and return a copv of this page to: I \ , t , ,