HomeMy WebLinkAbout320 30 STREET_HMBP 5.12.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
B_ IE R.S F_1 le I_!?
FIRE 2101 H Street
ARrX r Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME ,
INSPECTION DATE
INSPECTION TIME
t
COMMENTS
EY
ADDRESS
3Z C)
PHONE NO.
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NO OF EMPLOYEES
t7�
FACILITY CONTACT
7e'-A` 't J f
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BUSINESS ID NUMBER
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i �. S 4 S 1 / J/ '1
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Consent to Inspect Name /Title
❑
Section 1: Business Plan and Inventory Program
❑,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
EY
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
PIN
❑
BUSIf1eSs PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
Qr
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑ .
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Er
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
I:11
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑'
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑'
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
0-
❑
HOUSEKEEPING
(CFC: 304.1)
I
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES ❑`NO
Signature ofReceipt
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Explain:
POST INSPEC ION INS'FRUC11ONS:
• 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
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev 61/10)