HomeMy WebLinkAbout3209 BROOKSIDE DRIVE_HMBP 6.3.11.UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
�A
F I F R S F I E\L D
FIRE
D4rfARTiVE
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
l C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
R C LA titfl ti 0\
APPROPRIATE PERMIT. ON HAND
6-3-11
'_70 �-> -r-
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHO61E6 O ?y q6
NO OF EMPLOYEES
rDU�C+ Ce
(CFC: 505.1, BMC: 15.52.020)
7/
C9/
FACILITY CONTACT
(CBC: 401)
BUSINESS ID NUMBER
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
-Ozl -
662-S3 7
Consent to Inspect Name /Title
(CCR: 2729.4)
❑� ❑
Ga s5a" dl-,,, —1 im
(CCR: 2729.2)
❑
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
l C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT. ON HAND
(BMC: 15.65.080)
❑
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)
�G ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑� ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
cyk.
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
9C ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
'0/ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Signature of Receipt
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
Signature (that all violations have been corrected as noted)
G Z3 l!
Date
�, White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)