HomeMy WebLinkAbout2122 UNION AVENUE_HMBP 1.19.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION-1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME �
C?
INSPEC ION DATE
INSPECTION TIME
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❑
ADDRESS
2_t —4�Z U/-'IvrJ AJ
PHONE NO.
3�3_744-7
NO OF EMPLOYEES
FACILITY CONTACT
2
BUSINESS ID NUMBER
tc j. _
Business PLAN CONTACT INFORMATION ACCURATE
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program t,
❑ -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)
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❑
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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❑
❑
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(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
CCNO
Signature of Receipt
Explain:
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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
"9 6ze 4
Signature (that all violations have been corr_ cted as noted)
i/ /
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
i
I
APMAIPWAr
A
Rich Hardesty
rich@gciequipmentrental.com
Cell: 661 - 345 -6225
661 -587 -7447 661 - 323 -7447
Fax: 661 -587 -7446 Fax: 661- 323 -7446
6700 Rosedale Hwy. 2122 Union Ave.
Bakersfield, CA 93308 Bakersfield, CA 93305
•
UNIFIED.P.ROGRAM INSPECTION CHECKLIST
FIRE
RT M F
SECTION 1: Business Plan and Inventory Program
'JiA
�
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
COMMENTS
❑
ADDRESS
t 2'L rJrJt0� AJ
PHONE NO.
;23-- `74% -7
NO OF EMPLOYEES
❑
❑
FACILITY CONTACT
IC "y
BUSINESS ID NUMBER
I Px2(NC�T
❑
Consent to Inspect Name /Title
j1 Section 1: Business Plan and Inventory Program
'❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI = AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( -U=-Compliance) : OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
q ' , C
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)'
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
'
t
❑
❑
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)
j
ANY HAZARDOUS WASTE ON SITE? ❑ YES
q NO
Signature of Receipt
Explain:
�w ..
M t �_/,�c f.�n �; { c>+
r S 40P
a IJ f:� vTLXE
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
While —Business Copy I Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all viola Eons have been corr cted as noted)
7/
Date
Pink — Prevention Services Copy
PD2155 (Rev 6//10)