HomeMy WebLinkAbout4501 GRISSOM ST HMBP 4.30.14UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 552 -2171
FACILITY NAME _ - -)
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INSREer(QN DATE
INSPECTION TIME
/
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT r .. ;'�
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BUSINESS ID NUMBER
Consent to
Inspect Name /Title
Section 1!: Business Plan and inventory Program
❑ ROUTINE ❑ COMBINED ❑JOINTAGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
COMMENTS
V= Violation
0
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑:,.
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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C S h /1
T r
(Y'
❑
VISIBLE ADDRESS (CFC: 505.1, BMQ 15.52.020)
Z Z
Q,.
❑
CORRECT OCCUPANCY
(CBC: 401)
/
[V
a
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
El
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Q'.
4�• -.
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑y
❑
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)
,q{:
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
C
r
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑f
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? OYES ❑
NO
Signature of Receig
Explain:
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POST INSPECTION INS 'FRUC'I IONS:
• 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, 2 t01 H Street, California 93301
Siggature (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 / /10)