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HomeMy WebLinkAbout410 21 STREET_HMBP 5.10.11RTCUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ._.. ._E.._R___S.. F_I.. �E L D FIRE O ARTM r r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME \NV► ` \iz_-�- `ac�..,.�e._�, INSPECT/ N DATE INSPECTION TIME ..� a '� C' M 10o BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 5 to it ©/ ❑ ADDRESS ^ , S1 1 G7� Ld' ❑ PHONE NO. ( 37 % 3 e 4 NO OF EMPLOYEES FACILITY CONTACT EE 1 1 ❑ VERIFICATION OF INVENTORY MATERIALS �g BUSI �E�S�S ID NUMBER Consent to Inspect Name /Title VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) q �V� ^ -7 ? © k PROPER SEGREGATION OF MATERIAL Section 1: Business Plan and Inventory Program WIROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) EV ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ©/ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Ld' ❑ CORRECT OCCUPANCY (CBC: 401) ` ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) M ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ED/ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) n'l C] VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) —/ 5 El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) / E ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) E3 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) E3' ❑ HOUSEKEEPING (CFC: 304.1) EK' ❑ FIRE PROTECTION (CFC: 903 & 906) M ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ES ❑ NO 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 (that all vio rim e- e-n` corrected as noted) Date White — Business Copy Yellow —Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10)