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Home My WebLink About2201 R STREET _HMBP 5.1.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B A E R S F I D FIRE DIVA qrM BAKERSFIELD FIRE DEPT. Prevention Services. 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ((�� Ce INSPECTIO DATE INSPECTION TIME ADDRESS 22a . COMMENTS PHO E NO. NO OF EMPLOYEES FACILITY CONTACT 9USINESS ID NUMBER 16 ib2Z13-1 Consent to Inspect Name /Title Section1 Bushes °sPlan and I enforyro•gr =am ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MU AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND /BMC: 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCUR E (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC: 401) ❑ ❑ VERIFICATION OF INVENTORY MAT IALS (CCR: 2729.3) ❑ ❑ VERIFICATION OF QUANTITIE (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCAT N (CCR: 2729.2) ❑ ❑ PROPER SEGREGAT N OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICAT N OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIF ATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ XEERGENC Y 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 Signature (that all v10 gave been corrected as noted) !;/( ao / Date White — 13usiness Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 6 R S P' D FIRE 2101 H Street D ARTM Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME r INSPECT10 DATE INSPECTION TIME ADDRESS PHO Z-�NO. ` S NO OF EMPLOYEES FACILITY CONTACT SINESS ID NUMBER Consent to,lnspect Name /Title Section 1: Business Plan and l entory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MY-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND /BMC: 15.65.080) ❑ ❑ BUSine.ss PLAN CONTACT INFORMATION ACCUR E (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC:401) ❑ ❑ VERIFICATION OF INVENTORY MAT IALS (CCR: 2729.3) ❑ ❑ VERIFICATION OF QUANTITIE (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCAT N (CCR: 2729.2) ❑ ❑ PROPER SEGREGAT N OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ . ❑ VERIFICAT N OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFI ATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ E RGENCY 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 ofRecei 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 Signature (that all vio ave been corrected as noted) Date White — 13usiness Copy Yellow— Business Copy to be Sent in after return to Compliance Pink— Prevention Services Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program OW"'M L D T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTIO DATE 5 / 20'1 INSPECTION TIME ADDRESS 2� 1 COMMENTS PHOf�N,O�! � NO OF EMPLO EES FACILITY CONTACT B SINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and I entory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MUL - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND /1BMC: 15.65.080) kg-v -T jk � t ❑ ❑ Business PLAN CONTACT INFORMATION ACCUR (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC: 401) ❑ ❑ VERIFICATION OF INVENTORY MATE IALS (CCR: 2729.3) ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCATI • N (CCR: 2729.2) ❑ ❑ PROPER SEGREGATI N OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION F MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATI N OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFI ATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ E RGENCY 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 ofReceipt 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 Jtz l Signature (that all 1," ave been corrected as noted) 15A Date While — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6810)