HomeMy WebLinkAbout8503 CRIPPEN HMBP 6.13.14e. ql-�l �q V c Is C� P
UNIFIED PROGRAM INSPECTION CHECKLI
SECTION 1: Business Plan and Inventory Progra
FACILITY NAME
ADDRESS
FACILITY CONTACT . AA�%
L% rXSeH 16'1
ST a ea srt u
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m
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 3f 6 -3979
Fax: (661) 2 -2171
N P CTION DATE
INSPECTION TIME
( C= Compliance OPERATION
V= MolaBon
DHO E NO. -
NO OF EMPLOYEES
S% i - Z
1 P)D
Section 1: Business Plan and Inventory Program
I ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance OPERATION
V= MolaBon
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
-
❑
;'
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
r"
VERIFICATION OF QUANTITIES
(CCR: 2729:4)
❑
Pr
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
iy
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES &
PROCEDURES (CCR: 2731(c))
Y'
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(1), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
�r
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
7 L
ANY HAZARDOUS WASTE ON SITE? S ❑ NO
Wni'T� G•
atu fReeei t "� ,
Explain:
POSTINSPEC "1'lUN INSIRUG11VP16: �Z« M hL..+�!"5"r't 5 kc - , --\ \ \
Correct the violation(s) noted above by C 2 Cif L(" 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
- - - --1_ Date
White — Business Copy Yellow — Business Copy to be— Sent in after moon to Compliance Pink — Prevention Services Copy FD2155(Rev 600)
UNIFIED PROGRAM INSPECTION CHECKLIST I a kE R s F r I
FIRE RTN T
BAKERSFIELD FIRE DEPARTMENT
Prevention Services Division
2101 H Street
Bakersfield, CA 93301
Phone: 661- 326 -3979
Fax: 661-852-2171
NOTICE OF VIOLATION / SUMMARY OF VIOLATIONS
CLASS II AND CLASS I VIOLATIONS
Owner /O erator: D c, 1 ` r
Facili : ; c
Address: ) 5 -(
SUMMARY OF VIOLATIONS
Item
#
Notice Of Violation: Class II and /or Class I Violations were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF VIOLATION
The violations indicated in this inspection report must be corrected within 30 days, unless
otherwise noted.
Formal enforcement will be initiated for all Class I Violations, and for any Class II violations not
x?
corrected within the required timeframe. This report does not represent that there are no other
violations at this facility. A re- inspection may occur to determine compliance status.
SUMMARY OF VIOLATIONS
Item
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF VIOLATION
DATE FOR
CORRECTION
Inspectors (
�
Signature: �
Received by:
Phone:
Print Name:
Date: / % '!
Date:
KPS #W7
White — Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink — Prevention Services Copy