HomeMy WebLinkAbout13703 VIA LA MADEVAUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B LA R' S F_I_ fB LD
— - IRER %M T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INS ECTION DATE
INSPECTION TIME
ADDRESS � � �
-f •! 4
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title LJ
Section 1: Business Plan and Inventory Program
E J ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
D ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
0� ❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑� ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
El ❑
CORRECT OCCUPANCY
(CBC: 401)
-
OJ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Do ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El4 ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
3) ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ ti ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑3;,. ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
L]z- ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Qj ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(n, CFC: 2703.5)
❑::::, ❑
HOUSEKEEPING
(CFC: 304.1)
11 1 ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? El 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
Si lure (that all vi lations ave been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in aver return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)