HomeMy WebLinkAbout3550 Q STREET_HMBP 6.21.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B F. R S F I fD
FIRE D ARTM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE
INSPECTION TIME
C1,wc✓,
-'
APPROPRIATE PERMIT ON HAND
ADDRESS
111'
PHONE NO.
NO OF EMPLOYEES
S 5 o
-11-1-1 — (-15 �'
Z _z_
FACILITY CONTACT
BUSINESS ID NUMBER
❑
CORRECT OCCUPANCY
-Z VIA
IL
CIO 11
Consent to Inspect Name /Title'
ti
(CCR: 2729.3)
ET
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Section 1: Business Plan and Inventory Program
OUTINE ❑° COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑'' ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
111'
❑
Business. PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
l5
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
[21'
❑
CORRECT OCCUPANCY
(CBC:401)
C]"
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
ET
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
E13-
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
0
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
12
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
P,
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑'
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑,
❑
HOUSEKEEPING
(CFC: 304.1)
12
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑+
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
111
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Signature of Me' t )
Explain:
POY INSNN:C'FION INS I'RUC77UNS:
• 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)
(.,/ -2 z rl
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy 1`132155 (Rev 6//10)