HomeMy WebLinkAbout3232 RIO MIRADA DRIVE _HMBP 6.9.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
E R 5 F_I 2 L D
FIRE
DfFARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
CGS e NN ,C -I
INSPECiTION/ -DATE
C% I! l
INSPECTION TIME
ADDRESS -'' )) { t /� `�
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PHONE NO. ) f
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NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
I .L) I V C) Ca "I _> /
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
(C= Compliance OPERATION
V= Violation
COMMENTS
-01 ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ Eb
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
�j 7 � 1 C CC P-�
00 ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
`❑� ❑
CORRECT OCCUPANCY
(CBC: 401)
i..y
❑ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
�(] ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Eb ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
Q� ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
j j . t,,e A'
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
IV }J��
!
O5 ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
L]) ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
,E] ❑
FIRE PROTECTION,
(CFC: 903 & 906)
❑ ❑
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
While — 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
1`132155 (Rev 6 / /10)