HomeMy WebLinkAbout2231 N STREET_HMBP 2.4.11BAKERSFIELD FIRE. DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST a A E R S F 1 n 2101 H Street
o ARTM Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECT ON PATE
INSPECTION TIME
COMMENTS
ADDRESS
PHONE NO.
NO OF EMPLOYEES
31
327- 00 ?7
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FACILITY CONTACT
BUSINESS ID N,IIMBER
C.E S./YZ Gi r'('..t,�Nc�
/J�Z.I • C�^M -3 c+r! � . (.'i.�.
Consent to Inspect Name /Title
Sectlon "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)
(fit �`
i S$v>` . /�
�li�� P['ZK T
•
❑
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)
ZS (,,-- .
❑
❑
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(17, 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
1
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, 210TH Street, California 93301
White — Business Copy Yellow — Business Copy to be Sent in afier.return to Compliance
Signat re that all violations have been corrected as noted)
Date I
Pink — Prevention Services Copy FD2155 (Rev 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory' Program
r�
B_ E R S F I D
F/RE
D ARrM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 - 3979 .
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION PATE
INSPECTION TIME
COMMENTS
❑
ADDRESS
2 Z31 /�/ 5
PHONE NO.
327- 00 ?7
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
C E S/YZ C_ Alvo
1JC�w (L-Nys cr,Q . le�r11
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)
WILL I S SUE A
F-, R` O Cam' , T
❑
❑
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)
4
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
ZGZ Gf
ZS fit_ 0
SV
❑
❑
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)
! \t—L (�-)r�
/ �•
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
oy
ANY
HAZARDOUS WASTE ON SITE? ❑ YES
❑ NO
Sil?natureofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by r Signature (that all violations have been corrected as noted)
• 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 .
3 Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy _ FD2155 (Rev 6H10)