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HomeMy WebLinkAbout2905 BRUNDAGE LANE_HMBP 3.28.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B_/ 1 P _R S F I IHV D FIRE - D , ARTMEmr BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION ATE INSPECTION TIME ,�,, , dt .� ��c 1%c: r ✓1 r *.��..2 - �1 ca c r >„ a 4/1 E}� ADDRESS AJ I-., c. n, PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER I (M• / r.i+ f +Q S Al Dv/-1 BUSIneSS PLAN CONTACT INFORMATION ACCURATE 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 E}� ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0" El' 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) S ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑/ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©/ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 0, El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) �/ LY ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) E9/ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 13 ❑ HOUSEKEEPING (CFC: 304.1) C'Y ❑ FIRE PROTECTION (CFC: 903 & 906) 130' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) IN ANY HAZARDOUS WASTE ON SITE? ❑ YES ET NO Si nature ofiRecei "}tl 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, Califomia 93301 s` White — Business Copy Yellow -1 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• ev 6//10) SOU'THWES'T VETERINARY HOSPITAL `r Tim Anderson, DVM - Mark Holland, DVM 2905 Brundage Lane �. S.K.Clark; DVM- Bakersfield, CA 93304 Elise Martin, DVM (661) 327 -5719 Jennifer McDougle, DVM www.stiern- swvets.com Anika Colopy; DVM Affiliated with Stiern Veterinary Hospital