HomeMy WebLinkAbout3004 JEWETT AVENUE_HMBP 4.19.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E_R S F I E' D
- FIRE
D ARTMEI�IT
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C.1
c C= Compliance OPERATION
V= Violation
INSPECTION DATE
�
INSPECTION TIME
m
"/zo �s
,//
'3S_
ADDRESS
3 004
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
L:I/ / ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Consent to Inspect Nam /Title
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
(CCR: 2729.4)
(CCR: 2729.2)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
V= Violation
COMMENTS
11 ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
D ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
' ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
L:I/ / ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
[1,-" ❑
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
(CCR: 2729.4)
(CCR: 2729.2)
❑r ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
'n
(CCR: 2729.2(3)(b))
I]/ ❑
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)
❑Z'❑
HOUSEKEEPING
(CFC: 304.1)
0"' ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? (YES
'a _ /1/Coll� %sirt � t �f cJ
❑ NO
Signature of Receipt
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, California 93301
—Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in a0er return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
Surface Systems
Keith Smith
District Manager
CAMERON
3004 Jewett Ave.
Bakersfield, CA 93301
Tel 661.323.8183
Cel 661.706.6801
Fax 661.323.0946
keith.smith@c-a-m.com
`u