HomeMy WebLinkAbout4316 WIBLE RD HMBP 6.5.14gj��Jjy \/ � P-�5 0V
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
a4flUrrIM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661)326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
�( j1(o
Gv(GjL1 t E
„s
PHONE NO.
f'> / :;`i ?Ldt123
NO OF EMPLOYEES
i
FACILITY CONTACT
I ,/( G
(12 iloov)
BUSINESS ID NUMBER
Consent to Inspect NamelTitle
Section 1: Business Plan and Inventory Program
❑
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Er ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
A/ 0 /E
W ❑
CORRECT OCCUPANCY.
(CBC:401)
❑ a
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
f❑' ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
D
VERIFICATION OF LOCATION
(CCR: 2729.2)
72' ❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
�j]' ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(6))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
i; ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
-
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
iei ❑
FIRE PROTECTION
(CFC: 903 & 906)
' 'T ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES
NO
Si nature o', cei'tr
Explain:
POST INSPECTION INS '1RUCLIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• 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
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 12/ I)