HomeMy WebLinkAbout3901 WIBLE ROAD_HMBP 4.27.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A
rER I D
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
6 L�� -
/:, /Jt1,
16
ADDRESS
PHONE NO.
NO OF EMPLOYEES
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
FACILITY CONTACT
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BUSINESS ID NUMBER
D6OAe- C A -20
/005-Y,27
(CBC: 401)
Consent to Inspect Name /Title
1:1
VERIFICATION OF INVENTORY MATERIALS
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Section 1: Business Plan and Inventory Program
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)
❑/ ❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
0/ ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0- ❑
CORRECT OCCUPANCY
(CBC: 401)
1:1
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
�❑�
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0/ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
0/ ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
(y ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0/ ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ ❑
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? Er'' ES ❑
NO
Signature of Receipt
Explain:
/
POST INSPEC77UN INS'FRUCTIUNS:
• 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
Signaturr'ee (that all violations have been corrected as noted)
7/h 7l (
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)