HomeMy WebLinkAbout410 21 STREET_HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT:
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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( C= Compliance OPERATION
V= Violation
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INSPECTION DATE
INSPECTION TIME
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
ADDRESS
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PHONE NO. 73`�`j
NO OF EMPLOYEES
FACILITY CONTACT
❑
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BUSINESS ID NUMBER
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Consent to Inspect Name /Title
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❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
Section 1: Business Plan and Inventory Program
F�KROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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v
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC:401)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
11/ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
LI ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
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❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
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ANY HAZARDOUS WASTE ON SITE? ES ❑
NO
Signature ofReeei
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 w —Business Copy to be Sent in after return to Compliance
Signature (that all vi tat �orrected as noted)
Date
Pink — Prevention Services Copy
5 -r � O -- \ `.
FD2155 (Rev 010)