HomeMy WebLinkAbout3621 STOCKDALE HWY_HMBP 5.17.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
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ADDRESS 3&� I ����� ^�`�__ �
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
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BUSINESS ID NUMBER
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Consent to Inspect Name /Title
(CCR: 2729.1)
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
LB4ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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BUSIneSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0" ❑
CORRECT OCCUPANCY
(CBC: 401)
-
0% ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
EV ❑
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))
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EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑ ❑
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FIRE PROTECTION
(CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTEION SITE? 0,'' ES ❑
NO
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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)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy 1`132155 (Rev 6//10)