HomeMy WebLinkAbout301 19 STREET_HMBP RTC 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B.__. _ E R S F I L 1)
FIRE
ARrN T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
um Ls I VI cIL_
INSPECTION DATE
5 (O I I(
INSPECTION TIME
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ADDRESS -3®l (QT�
1
APPROPRIATE PERMIT ON HAND
PHONE NO. /
NO OF EMPLOYEES
FACILITY CONTACT
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BUSINEISI�S ID NUMBER
Consent to Inspect Name /Title� /�
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V V V44.
V'ex % l
COMPLAINT ❑ RE- INSPECTION
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( C= Compliance OPERATION
V= Violation
Section 1 BuslnessPlan andI�nvelntory
Program
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
�❑
1K ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
® ROUTINE
❑ COMBINED ❑ JOINT AGENCY MULTI- AGENCY
❑
COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
9� ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
1K ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
R ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
R* ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1' ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Q ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
R" ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
51" El
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
Cr' ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
CJ ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
C7 ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0-'- ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
i
ANY HAZARDOUS WASTE ON SITE? ❑ YES 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
Sign to 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 010)