HomeMy WebLinkAbout416 WORKMAN_HMBPBAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST E R S P t o
Prevention Services
FIRE 2101 H Street
J ARTAI Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
�qSS @'VAI..
INSPECTION DATE
INSPECTION TIME
ADDRESS
4 i 6 lA
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
�i luo 1z 11 /
Sectlon.1. LMu`fite -ss 'RIan 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)
❑
)9)
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
\\
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
C3
El
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
( : 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.
❑
❑
VERIFICATION OF MSDS AVAILABILITY.
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES &
PROCEDURES (CCR: 2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED
w
(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? ❑ 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
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 010)
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
416 kj�) 0a'k -,M i�-
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
c� G ►�� -+-�— u U -46 / 6
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
bO
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
r
❑
❑
CORRECT OCCUPANCY \
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(C � 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704. ),
❑
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
❑
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? ❑ 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
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy 1`132155 (Rev 6UI0)
9..
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST E R S F I B L D 2101 H Street
v ' ARF/RE
rME, T Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Afto,-� Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS !
1 6 C3J _ ✓'n n.
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
C. C, bC ►-�-- U Q z b 1 61 1
Section 1: Business Plan and Inventory Program -
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
b=1
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
t
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
❑
CORRECT OCCUPANCY
(CBC:401)
•
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
•
❑
VERIFICATION OF, QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(C R; 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1
❑
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
1
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
11
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
�.
❑
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(17, 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? ❑ YES
❑ NO
Signature of Receipt
Explain:
NOS "1' INSPECI7ON 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
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6//10)