HomeMy WebLinkAbout3109 CHESTER LANE_HMBP 6.6.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B �jrfffr I7;E E L U
- -F D�A T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 73979
Fax: (661) 852 -2171
FACILITY NA E�
;
INSPECTION DATE
INSPECTION TIME
V= Violation
ADDRESS
.
(BMC: 11565:080)
PHONE NO.
��S�,��
NO OF EMPLOYEES
FACILITY CONTACT
-
(CCR: 2729.1)
BUSINESS ID NUMBER _
t,-_J C. r i
Consent to Inspect e /Title
F`
VISIBLE ADDRESS ,` (CFC:'505;1;
.✓ \
` t`ai(� 7`
P✓ .
r I c
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
c C= Compliance OPERATION
COMMENTS
V= Violation
L( ❑
APPROPRIATE PERMIT ON -HAND
(BMC: 11565:080)
LIB
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
t,-_J C. r i
tl t e AA
❑ ` -
VISIBLE ADDRESS ,` (CFC:'505;1;
BMC: 15.52.020)
F0 ❑
CORRECT OCCUPANCY
(CBC: 401)
❑ (�
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
~ ^~ r
1:1
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
v B
0!" ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
[9( ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
� ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
(( 9 ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
LJ ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
t
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
�^ ❑
HOUSEKEEPING
(CFC: 304.1)
I� ❑
f4C
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES
NO
Signature ofRecei
Explain:
POST INSPECTION INSTRUCTIONS: 1
• Correct the violation(s) noted above by LA
• , Within 5 duan of corrccjj!jgaI of the vi latio s, 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 after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)