HomeMy WebLinkAbout10700 STOCKDALE HWY HMBP 5.12.14UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME r f
1
BAKERSFIELD FIRE DEPT.
INSPECTION DATE
Prevention Services
o L R S F l p
FIRE ,
2101 H Street
ARTM r
Bakersfield, CA 93301
NO OyEM80YEES
_- 11
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME r f
1
INSPECTION DATE
INSPECTION TIME
ADDRESS /
49- t�f) <"`
s
&V
PHONE NO.
/ 9rao
NO OyEM80YEES
_- 11
FACILITY CONTACT
=—_0
BUSINESS ID NUMBER
74'5 77
, t
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
❑
Consent to Inspe t Name /Title
(CCR: 2729.3)
/1 (� ( � v r r
I 't`
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C V
(C= coupnance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
I
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❑
Section 1: Business Plan and Inventory Program
=—_0
ROUTINE
❑
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C V
(C= coupnance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
3v ht) t g j �7,( Ft J,d�
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
0
CORRECT OCCU PANCY OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
/1 (� ( � v r r
I 't`
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0 w/1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
ERIFICATION OF MSDS AVAILABILITY
(CCR:
❑ Ef
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑_
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
9 ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ "
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
F RE PROTECTION
(CFC: 903 & 906)
_i' V (> �x_a III �. I c� �. f
❑ EY
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? ❑YES
NO
Signature of Receipt
Explain:
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
Signature (that all violations have been corrected as noted)
� fib 4
Dale
White — Business Copy Yellow — Business Copy to be Sent in after o lwn to Compliance Pink — Prevention Services Copy F112155 (Rev 6010)