HomeMy WebLinkAbout2801 BRUNDAGE LANE_HMBP 5.4.11BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST a F R s F. E° FIRE 2101 H Street
A ARrm T Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program ✓C Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
011 APPROPRIATE PERMIT ON HAND
ADDRESS
L_ AJ lsrt C c C.,,c� %mod
PI BONE NO.
'5� 3,2 5/- /j
NO OF EMPLOYEES
..._:
FACILITY CONTACT
BUSINESS ID NUMBER
t
N, oOc, 2C -a- 661 6,453
(CFC: 505.1', BMC: 15.52.020)
Consent Consent to Inspect Name /Title c
(CBC: 401)
Gn NA L, CC 5
Cir_*' VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Section 1: Business Plan and Inventory Program
Q ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v C= Compliance OPERATION
V= Violation
COMMENTS
❑
011 APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
El
Business BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
t
❑ VISIBLE ADDRESS'!
(CFC: 505.1', BMC: 15.52.020)
LT ❑ CORRECT OCCUPANCY
(CBC: 401)
❑
Cir_*' VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
13
❑ 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))
❑
LJ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
❑" HOUSEKEEPING
(CFC: 304.1)
❑ FIRE PROTECTIONI'
(CFC: 903 & 906)
❑
13 ;1 SITE DIAGRAM ADEQUATE & ON HAND
'1R
(CCR: 2729.2)
�.
ANY
HAZARDOUS WASTE ON SITE? ❑/ ES ❑ NO
SignatureofReceipt 1
Explain:
r (� LJ
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• lW ithin 5 days of correcting all of the violations, sign and return a copy of this page to:
,rakersfield 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 1`132155 (Rev 6//10)
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DOMESTIC & IMPORT
EPA 10 # CAL 000326761
AC 252587 n i
2801 Brdndage Ln. Ste. 8 Office: (661) 324 -1111
Bakersfield, CA 93304 Fax: (661) 324 -1113
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