HomeMy WebLinkAbout4030 SORRANO AVENUE_HMBP 4.27.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
I F. R S F I E _D
F /RE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
-7
INSPECTION DATE
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INSPECTION TIME
❑f ❑
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d� , �� : �_x stn r
ADDRESS
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO.
NO OF EMPLOYEES
VISIBLE ADDRESS '
(CFC: 505.1, BMC: 15.52.020)
❑''/ ❑
FACILITY CONTACT
(CBC:401)
NUMBER
BUSINESS ID NUMBER
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/ (� l� y
Consent to Inspect Name /Title
ED' ❑
VERIFICATION OF QUANTITIES
f r F
i
Section 1: Business Plan and Inventory Program
D ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
V= Violation
COMMENTS
❑f ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
I]"' ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
[E] C3
VISIBLE ADDRESS '
(CFC: 505.1, BMC: 15.52.020)
❑''/ ❑
CORRECT OCCUPANCY
(CBC:401)
0' ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
ED' ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0' ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑' ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
El ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
131--'El
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
.r
0' ❑
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)
❑Y~ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ENO
Signature of Receipt
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 -(ihat all violati6ns have beein corrected as noted)
Date ,
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy Z _ _r, ? /1'D2155 (Rev 6H10)