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HomeMy WebLinkAbout3624 BUCK OWNES BOULEVARD_HMBP 4.19.11BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B E R s P I 2101 H street D ARTM Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSP CTION DATE INSPECTION TIME ADDRESS 36 *Lj C, Y-- ©w N65 g! V-P PHONE NO. Q-)-.1540 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title 'e Q-5 1D /y0 Z,557 -2) COMMENTS ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ JV f"F ^sue Section 1B uslne §sPlananc! Inventor Pro ram ❑ 7 1 „ AP'_ � ,ice .a� . ❑ � o 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) ❑ JV Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) W ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC:401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f ❑ / VERIFICATION OF QUANTITIES (CCR: 2729.4) )p ❑ VERIFICATION OF LOCATION (CCR_: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 1 1 ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Oli ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ L HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) I� ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES o Signature of Receipt c' e- C O 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 � � K��_ Signature (that all violfitions1have been corrected as noted) Jf�l7�i� Date Pink — Prevention Services Copy FD2155 (Rev 6//10) FACILITY NAME / 0 � kc- - INSPECTION DATE 4/1-1 `/ 1 1 / INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program 'q.�2,OUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ 'MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance) OPERATION V= Violation / COMMENTS ©a ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ P Ir) Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) � � �` t r\ re_ Ej - ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ©.3 ❑ CORRECT'OCCUPANCY (CBC:401) 11 EJ3 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0� ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 60 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑— ❑ 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)) / r ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) De ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5) ❑ ❑— HOUSEKEEPING (CFC: 304.1) 0,!:=❑ FIRE PROTECTION (CFC: 903 & 906) ❑a ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑�-NO Signature of Receipt Explain: t, PUN I INNPLL 1 JUN INN I RUC 11UNb: •. 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)