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HomeMy WebLinkAbout3100 BELLE TERRACE WAY_HMBP 6.1.11BAKERSFIELD FIRE DEPT. ��r P- Prevention Services UNIFIED PROGRAM INSPECTION. CHECKLIST a EF/RE 2101 H Street o ARTM Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax:' (661) 852 -2171 FACILITY NAME S Lt-a AN Lei. INSP CTION DATE �7i / J/ INSPECTION TIME. ADDRESS 3 I oc-D LI-6 --1_E2QAr_E vA A. PHONE NO. -V2 -) NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1 ��Business Plan andlnventor� Pro ram t � _ _�'. .r ^� t.a�e . ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS • jib APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) • �b Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC:401) !� ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) AT ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) j,.., ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 'a ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) O n Cox, "rted ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ �e FIRE PROTECTION (CFC: 903 & 906) �0� �- ♦ r� f e�� n (t �Si^�V ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? BYES ❑ NO Signature of Receipt Explain: M � /� %r T^_. V _G 16"r f H J(�1 g C' j G. 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 White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance go r a l ti ' Sig re (th Cdr' vw'ations have been c(3—rrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6 #10) M BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST E 2101 H Street F IRE D ARrM' jl T Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME �t'S r� �la A� � L•��. INSPECTION DATE �/� 1 �� INSPECTION TIME ADDRESS 3 ! OCD [ t�:e ! C a_'z V_ C- va w % PHONE NO. Sw7 _v 2.! NO OF EMPLOYEES FACILITY CONTACT APPROPRIATE PERMIT ON HAND BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ n)O BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE C.1C_ iZ S 1 L7 / U V "Z_:15 _7� 2- If Section 1: Business Plan and Inventory Program ❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION COMMENTS V= Violation ❑ _Do APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) R"-A � AQ��2J1 j C ❑ n)O BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) UP DATE C2.-a 6,t' ❑, VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) [34 ❑ CORRECT OCCUPANCY (CBC: 401) . O° ❑ VERIFICATION OF INVENTORY MATERIALS (CC :2729 ) ❑ VERIFICATION OF QUANTITIES (CCR: 272 4) 1) ❑ VERIFICATION OF LOCATION CR: 2729. '❑- ❑ PR` ROPER SEGREGATION OF MATERIAL (CFC: 04.1) 9!1� ❑ VERIFICATION OF MSDS AVAILABILI ' (CCR: 2729.2(3)(b)) 9:) ❑ VERIFICATION OF HAZ MAT TRAINING : 2732) d ❑=' ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) r. n ®? ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑!) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 1� ❑ HOUSEKEEPING (CFC: 304.1) ❑ '0° FIRE PROTECTION (CFC: 903 & 906) S°' �� �-c +a � - • St1 'fit. 12Q ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) w ANY HAZARDOUS WASTE ON, SITE? /' ©aYES ❑ NO r, Signature of Receipt +._j 6- , f,_ %° a ;-jam Explain: 4..0 �'�' , r... a. 4 w C.�=' I!-- ,?r• t,,, i+ '.. �5' 2 / POST INSPECTION INSTRUCTIONSi • 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 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance 3 Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy F132155 (Rev 6H 10)