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HomeMy WebLinkAbout300 GOLDEN STATE AVENUE_HMBP 5.12.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ^FIR D ARTME, r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME t v c C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME , ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS 3a> G©cV.,. C(:�k" �w 2,. Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) PHONE NO. `d DI-1 I ©C> NO OF EMPLOYEES FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER ❑' ❑ CORRECT OCCUPANCY (CBC:401) Consent to Inspect Name /Title \, ❑ Section 1: Business Plan and Inventory Program 0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS 0' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 0' ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑' ❑ CORRECT OCCUPANCY (CBC:401) 0' ❑ VERIFICATION; OF INVENTORY MATERIALS (CCR: 2729.3) 12 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑" ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑O ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 0- ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) Q- ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 12' ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 0 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) E" ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) El ❑ HOUSEKEEPING (CFC: 304.1) 0' ❑ FIRE PROTECTION (CFC: 903 & 906) 0,' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO Signature of Receipt I Explain: 1 � 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 violations have been corrected as noted) Date White — Business Copy , Yellow— Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10) �y