HomeMy WebLinkAbout315 30 STREET_HMBP 5.12.10UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B I LH I,._ ._D
FIRE
�ARTM . T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
„
INSPECTION DATE
INSPECTION TIME
ADDRESS
(BMC: 15.65.080)
PHONE NO.
1o33— S 349
NO OF EMPLOYEES
5a
FACILITY CONTACT
^ � ;
VISIBLE ADDRESS
BUSINESS ID NUMBER
vGv�� O
CORRECT OCCUPANCY
(CBC: 401)
Consent to Inspect Name /Title
• �}y
VERIFICATION OF INVENTORY MATERIALS
'-(}
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
G ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
31' ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ID ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
Q ❑
CORRECT OCCUPANCY
(CBC: 401)
-
ot/❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Q ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Q",❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Lll¢ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
Cge""❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
E ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
E10"'❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0' ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
3a" ❑
HOUSEKEEPING
(CFC: 304.1)
[1 ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
i
ANY HAZARDOUS WASTE ON SITE? ❑ YES 11,040
SignatureofRec`eipt
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
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Sig�ature (that all vio ations have een corrected as noted)
Date /
Pink — Prevention Services Copy FD2155 (Rev 6//10)