HomeMy WebLinkAbout3600 AUBURN ST HMBP 4.3.15 ATTBAKERSFIELD FIRE DEPT.
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UNIFIED PROGRAM INSPECTION CHECKLIST B � ERS_.._F.� p.
Prevention Services
FIRE. 2101 H Street
. :. .. ARTM T
Bakersfield, CA 93301
S ECTI N 1: BusineSS PIa n and Inventory Program � Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME t, INSPECTION DATE INSPECTION TIME
ADDRESS , PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
y� L4 IS
Consent to Inspect Name /Title
[ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ `COMPLAINT ❑ RE- INSPECTION
• 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`
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)
C
V
( C= Compliance} OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
❑V
❑
BUSINESS.PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 1.5.52.020)
0
9r'
❑
CORRECT OCCUPANCY
(CBC: 401
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
D�f
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4
-'
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
D.r
❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)',,
❑/
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2 (3)(B))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
Q,
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Cl
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
❑j
❑
HOUSEKEEPING
(CFC: 304.1)''
❑/
❑
FIRE PROTECTION
(CFC: 903 & 906):,
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ST A t;.
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
f R
'
• 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`
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)