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Home My WebLink About4101 UNION AVENUE_VERIZON HMBP 4.25.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B A F.R =1F Al, D FIRE D ARTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street - Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME \ \ 1 Y �J'C 1'Z �l Yom! l r6 5 INSP CTION DATE a It INSPECTION TIME S ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title q A z Section^ 1 �Busmesslanand `Inventory Program hill ROUTINE El COMBINED . ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS 1 IJ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) tY I� ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Rf ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Wf ❑ CORRECT OCCUPANCY (CBC:401) 2( ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) VJ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) e ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) I11J ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 95 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) vJ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES 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 a violations have been corrected as noted) Da White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6#10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program �r B__ F. R S F I D F/RE D ARTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME / e Vt�tic ire. ,s INSP CTIO DATE q Zsl�oI/ INSPECTION TIME 5�..;.... ADDRESS PHONE-NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Prograrri ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS L'J ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) v (� ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) LJ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 2 ❑ CORRECT OCCUPANCY (CBC: 401) C?' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) IQ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) �/ E3 . PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) L!J ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 11 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) I� ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Ed ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 0 ❑ HOUSEKEEPING (CFC: 304.1) It ❑ FIRE PROTECTION (CFC: 903 & 906) Uj ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES No SienatureofReceipt 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 — Business Copy to be Sent in after return to Compliance L� Signature that al violations have been corrected as noted) Dat Pink — Prevention Services Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F I E D FIRE D ARrN , T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME / . c Y e �r rz o rs '4� r e�zss INSP CTIO DATE q .2 61--20 11 INSPECTION TIME 5 ,. , . ADDRESS j� PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title #. Section 1: Business Plan and Inventory Rr�ogram ROUTINE ❑ 'COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS LJ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑" ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) D( ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑" ❑ CORRECT OCCUPANCY (CBC:401) ❑/ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Ole ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 4d ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 1/ ❑ 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)) EY ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 4" ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5) GY ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature ofReceipt Explain: 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: /�� a� f Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010)