HomeMy WebLinkAbout3000 GATEWAY AVENUE HMBP 4.21.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business ;Plan and Inventory Program
B ! E_ R S F I !E I D
FARE
O ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND
ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
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Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
❑ ROUTINE � COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION.
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( C= Compliance OPERATION
V= Violation
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729 )
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52 (020)
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CORRECT OCCUPANCY
(CBC: 01)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑C,�, ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑10 ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
0;' ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑� ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
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HOUSEKEEPING
(CFC: 304.1)
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FIRE PROTECTION
(CFC: 903 & 906)
[DO ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? 0--YES ❑
NO
Signature of Receipt
Explain:
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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
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 6//10)