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HomeMy WebLinkAbout9000 MING AVE HMBP 6.12.15 VONS• BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R___ E_R__,S__F T „n 2101 H Street vt >, :1 FIRE ...... .:.....:.:'.i:5:v..n.+.:Hv'v... n.. v.: iti: �:......:.... v :..............• ..v..:......uv..v,t....,..x.... :::+:. x ...v...v..::»..:.v:..v::.u:.:n: vx..:x6.x.. u:x.xv u..u:. ay.�•.{. .t..... \...v..v.......v...... ,. .. ;:5j:::•i :Y,rcx:,.; .....: ..... ..: x:••::.v::.:.•.:.:.. v:; ..;.; ..tvv..xvy5;.}vy.. n:.. v Oi'•: :. ....:W::, :::::: i.:.v.v.vY.w:Y: ^:::'l. .v..n:. ii: `:i.v <:jN.;c... +.::•: + > ^” Rrm r Bakersfield, CA 93301 x <t 7 .....vv .......... . ." ...i ::vty; :.��.;.�: ::: x \ji: i {i:i•: �.:n:�iiv,.;Si:u�<;.i �; �w% .•:.:.• : ' uv :::• ..: ::v' ".::::. iii.'ii'::i :•.•:,i:::i• }<•iui:.�q:vi:i HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) $52 -2171 FACILITY NAME i! l� INSPECTION t DATE INSPECJLON TIME y '54 i , ADD�RESS� � P�1QNE�N,t n FF..r;�� NO OF :.��p1 OYEES kkj FACILoITY CONTACT BUSINESS ID NUMBER `� Consent to Inspect Name /Title ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION COMMENTS V= Violation YJ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) iL ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) I ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 91 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) Lil ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 9` ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ZI ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) t ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES A NO Explain: Signature of Receipt- POST 1NSFEUTMN LV5'l�KU(. 'lU , b JN'UK K1bl UKN= U- t�U1v1rL1AINUE: 1 q tea•.^-+, "` f n • Correct the violation(snnoCqg above b` • Within 5 days of correcting All of the iolations, sign and return a copy of this page to Bakersfield Fire Dept., Pre ntion Services, 2101 H Street, California 93301 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (thaf all violations have been corrected as noted) e,'°. G. f € T Date Pink Prevention Services Copy FD2155 (Rev 1/14)