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HomeMy WebLinkAbout4/2011BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B a -5 " - ='a 2101 H street F /RE ARTM r Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME t ccc 1 coy INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO . NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program `—`ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ ' RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS bo ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Ego BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) I —A }, 2 , � CCW—f 121C) 121C) 1:1 VISIBLE ADDRESS" (CFC: 505.1, BMC: 15.52.020) C° 0C) ❑ CORRECT OCCUPANCY (CBC: 401) - ❑..`t ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) r E' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) a ❑ O ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑14 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) r, (] ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑eta ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑•y❑ . EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Ems❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 01 ❑ HOUSEKEEPING (CFC: 304.1) Ein, ❑ FIRE PROTECTION (CFC: 903 & 906) ms`s �"` ' i _t {a, q a� • , i P 1 . Y '7} ❑ % ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES EzNO 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 010) l