HomeMy WebLinkAbout10100 STOCKDALE HWY HMBP 5.12.14� AKERSFIELD FIRE DEPT.
�CW 1 A Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 1,, ° 9 R a r ` ' ° zlol e street
SECTION 1: Business Plan and Inventory Program
AerM r Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
( C= Compliance) OPERATION
Violation
Section 1: Business Plan and Inventory Program
INSPECTION DATE
INSPECTION TIME
ADDRESS
i O 10
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
P ONE NO.
NO OF EMPLOYEES
BUSIness PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Business
J_�-------
--= =a-
❑
VISIBLEADDRESS
FACILITY CONTACT
1 ? %
BUSINESS ID NUMBER
6%%,,157
L c, -,,V-
1009 -7273
Consent to In pect NameTitle
C V
( C= Compliance) OPERATION
Violation
Section 1: Business Plan and Inventory Program
COMMENTS
EY'ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V
( C= Compliance) OPERATION
Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
�' �i:q ��,{C � L-, K'.1
� C. {7 " > Lt�/ T7
BUSIness PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Business
J_�-------
--= =a-
❑
VISIBLEADDRESS
(CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
-
❑,-
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
d ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
[3 ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICOABATEMENT SUPPLIES &PROCEDURES (CCR: 2731 (1))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
- HOUSEKEEPING
(CFC: 304.1)
l
FIRE PROTECTION
(CFC: 903 & 906)
E3 ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
i
ANY HAZARDOUS WASTE ON SITE? ❑YES ❑°NO
SienatureofReceint
Explain:
z
f
POST INSPECTION INSTRUCTIONS:
• 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
Signatye (that ill 4ioritions have been corrected as noted)
Date
White - Business Copy Yellow - Business Copy to be Sent in after return to Comphoue Pink - Prevention Services Copy FD2155(Rea 6//10)