HomeMy WebLinkAbout3600 WILSON ROAD_HMBP 4.27.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and. Inventory Program
B V B R 3 F 19\_D
FIRE
D AN
TMEl
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
k- p� �
0/1�0
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EMPLOYEES
^s
3� .
Or ❑
FACILITY CONTACT
BUSINESS ID NUMBER
❑
CORRECT OCCUPANCY
(CBC:401)
Consent to Inspect Name /Title
0/ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
®"' ❑
r Section 1: Business Plan and Inventory Program
❑ROUTINE ❑ "COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY °❑ COMPLAINT , ❑ RE- INSPECTION
C v
( C= Compliance. OPERATION
V= Violation
COMMENTS
0/1�0
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ ❑-
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Or ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC:401)
0/ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
®"' ❑
VERIFICATION OF,QUANTITIES
(CCR: 2729.4)
0-' ❑.
VERIFICATION OF LOCATION
(CCR: 2729.2)
0/ ❑'
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
0/ ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
0/ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑r ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0 ❑
EMERGENCY PROCEDURES ADEQUATE
r (CCR: 2731)
0/ ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
0� ❑
HOUSEKEEPING
(CFC: 304.1)
0� ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑/ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SignatuceofReceipt
Explain:
4'_
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)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)