HomeMy WebLinkAbout3809 SAN DIMAS__HMBP 6.22.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
'BAKERSFIELD FIRE DEPT.
Prevention Services
a E R S P I_0 2101 H Street
r Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITME ' �- �
INSPECTION DAT� �
INSPECTION TIME
COMMENTS
%
2""'
,,
2 ❑
APPROPRIATE PERMIT ON HAND
ADDR SttS +
e
PH,rON�} O.
NO OF EMPLOYEES
C� C..
(CCR: 2729.1)
FACILITY CONTACT ,!
BUSINESS ID NUMBE
®f ❑
Consent to Inspect Name /Title J.
Section 1:. Business Plan and Inventory Program
19. ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
%
2""'
,,
2 ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
®f ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 27041)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
d� ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
,.5
LJ ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
I� ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE YES ❑
X `` bra r�'
NO-
S; nature ofRecei
>,
Explain:
i
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: 0 ,
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 6 12c
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010)