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Home My WebLink About2100 BRICYN LANE_HMBP 1.7.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R F F I D FIRE DIVA R TM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V .� �) .L d Aj Ull INSPECTION DATE INSPECTION TIME ADDRESS P ONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title 1, mill Sectlon�1 Brµ et�p uslnessP�lan anlInventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65 80) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (Cl 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) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Xx k 0"\44 V'.i 6 ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ ❑ HOUSEKEEPING 131 ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofReceipt Explain: POST INSPECTION INSTRUCTIONS: • Correct the violations) 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) Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program wow, B E R S F I D -- - FIRE D ARTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V -¢ ~) Z cJ ti U� r tLG Lc. S S INSPECTION DATE I ( V INSPECTION TIME ADDRESS Z' ��. C�� IJ L PHONE NO. NO OF EMPLOYEES FACILITY CONTACT (BMC: 15.65.a 0) BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ ❑ Section 1: Business "Plan and Inventory Pro ramp 9 v% ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El. RE- INSPECTION C V C= Compliance) OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.a 0) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑o ❑ CORRECT OCCUPANCY (CBC: 401) L], ❑ 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) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ . ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ` , ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ 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 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) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B_ K B R S F I B\ D FIRE D ARTM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v INSPECTION DATE INSPECTION TIME COMMENTS ' ❑ ❑ APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES 2 1 o O I G� A.1 1. � ❑ ❑ FACILITY CONTACT (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ CORRECT OCCUPANCY Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v •C= Compliance OPERATION V= Violation COMMENTS ' ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.680) ❑ ❑ ,, Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)\ ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) \ \\ Ell ❑ 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) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) + n ^ ' -r ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ ❑ HOUSEKEEPING I (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) 1 f ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO Signature ofReceipt Explain: PUS I INNPEC'1'ION INN I RUC7•IONS: • 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 While —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 1`132155 (Rev 6//10)