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HomeMy WebLinkAbout3601 SAN DIMAS STREET_GOLDEN LIVING CENTER HMBP 3.29.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B _E R_ S F 1. 1_D FIRE VA T 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 COMMENTS —/ ❑ APPROPRIATE PERMIT ON HAND ADDRESS O/ PHONE NO. NO OF PLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title a ,> t�F0Sectl�on 1 Buslness�Planand I�nventoryPr, °gr�am:y ROUTINE ❑ 'COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS —/ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ETO"'❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) (❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 2-__E3 CORRECT OCCUPANCY (CBC: 401) ❑ ©'_ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0�_ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4), B / ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 2" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ 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) /❑ ge ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES E�_Q Signature ofRecei t 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 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 6//10)