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HomeMy WebLinkAbout1231 Brundage LnHMBP3-19-217C C'_ U___ UNIFIED PROGRAM INSPECTION CHECKLIS-1 TS � E ; R I RE' L U ARTM r SECTION 1: Business Plan and Inventory Program A FACILITY NAME A' i U ADDRESS 13,ru io Ackc FACILITY CONTACT '" e C ;�- ,. Consent to Inspect Name /Title f- BAKERSFIELD FIRE DEPT, Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 INSPECTION DATE INSPECTION TIME PHONE NO. NO OF EMPLOYEES f i..( f4� BUSINESS ID NUMBER P► ° L)` ZR Z;5- Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION c v C= Compliance O P E RATION M M E N T CO S V= Violation ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) i ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC: 401) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ ❑ ❑ ❑ VERIFICATION OF QUANTITIES VERIFICATION OF LOCATION (CCR: 2729.4) (CCR: 2729.2) ❑ ❑ ❑ ❑ ❑ ❑ PROPER SEGREGATION OF MATERIAL VERIFICATION OF MSDS AVAILABILITY VERIFICATION OF HAZ MAT TRAINING (CFC: 2704.1) (CCR: 2729.2(3)(b)) (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ ❑ ❑ CONTAINERS PROPERLY LABELED HOUSEKEEPING (CCR: 66262.34(f), CFC: 2703.5) (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ N O 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 White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink - Prevention Services Copy FD2155 (Rev 6//10)