HomeMy WebLinkAbout425 GOLDEN STATE AVENUE_HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
BAKERSFIELD FIRE DEPT.
PHONE O! b4 ('
Prevention Services
B_ E R .5 P 1 D FIRE
2101 H Street .
D ARTM
Bakersfield, CA 93301
Tel.: (661) 326 -3979
VISIBLE ADDRESS
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS `' � �( /,�
1
PHONE O! b4 ('
NO OF EMPLOYEES '
FACILITY CONTACT
J to c) _. c/ Z-7 7-7?
BUSINESS ID NUMBER
CO;.S 2 33
Consent to Inspect Name /Title
r V. :.
kv,
Section'_1. 'B�usines's Plan andlnventory Program _, �t_
V
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
V= Violation
COMMENTS
/
LJ ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
0/ ❑
CORRECT OCCUPANCY
(CBC:401)
❑ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
tr ❑
VERIFICATION OF QUANTITIES
(CCR: 2729:4)
❑/ ❑
.VERIFICATION OF LOCATION
(CCR: 2729.2)
2 ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
le ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
e ❑
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)
3' ❑
SITE-DIAGRAM ADEQUATE & ON HAND
/ (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
2r NO
Signature ofRecei
v
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 violations have been corrected as noted)
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy ' ' FD2155 (Rev 6//10)