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HomeMy WebLinkAbout301 19 STREET_HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program e B_ .. B R S F I_ B L_D FIRE :ARTM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME t� 36'" R \3t v( INSPECTION DATE f o INSPECTION TIME ADDRESS -3o, e �T(� 9 ` PH3ON2E_NO,.< NO OF EMPLOYEES FACILITY CONTACT � Vole BUSINE�SI#S SID NUMBER Consent to Inspect Name /Title %� fl `J` Section 1: Business Plan and Inventory Program ®ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENT S ©-,- ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ,Do,' L ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) —f LAY, / ❑ CORRECT OCCUPANCY J (CBC:401) ©� ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) D" ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ®` ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) OK ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) [Do ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) [1J El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) LJ' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR:.2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906)' EK ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature ofReceipt Explain: NUS "1' INSPECTION INS'FRUC'1'I0NS: • 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 Signa ure.( hat 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 6H10)