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Home My WebLink About2116 W STREET_HMBP 6.8.11FACILITY NAME C. rd zd INSPECTION DATE INSPECTION TIME ADDRESS Z/ PHONE NO. .. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER (BMC: 15.65.080) Consent to Inspect Name /Title ❑ ❑ 2 .7 S;ectlon 1$ Biuslness Planand °Inventory Pro ram _ D ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY El - COMPLAINT ❑. RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ BUSI11eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) /❑ Q' ❑ 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) ❑ ❑ 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) NP UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B AW B R S F I D FIRE D ARrM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 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.lnventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ' ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑/❑ 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) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(1], 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, - ; 101 H Street, California 93301 White —Business Copy .Yellow — Business Copy to be Sent in after return to Compliance JlgnaWre ttnat all Violations nave Deen corrected as notes) Date Pink — Prevention Services.Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A FIRE D ARTMFZA T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS 1 1 �tAn..*gCj e 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= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ,I /❑ 0- ❑ 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) ❑ ❑ 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 t( Bakersfield Fire Dept., Prevention Services, 12101 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)