HomeMy WebLinkAbout425 GOLDEN STATE AVENUE _HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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B_ E R S F-1 , D
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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,, O
INSPECTION DATE
INSPECTION TIME
ADDRESS ` 1 /1 Q�
PHONE NO^ b4 ` (
NO OF EMPLOYEES
FACILITY CONTACT � � � ^l / � �
S t c) — 1
BUSINESS ID NUMBER
00._�-93 -2-33
Consent to Inspect Name/Title
C v
"Section
P mm_�k
COMMENTS
1 Business
Plan and
.Inventory
a
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
J
R ❑
VISIBLE ADDRESS
ROUTINE ❑
COMBINED ❑ JOINT AGENCY
❑ MULTI
- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
R( ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
J
R ❑
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)
Ef'o' ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
210-- ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
C ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Rf ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
9f ❑
HOUSEKEEPING
(CFC: 304.1)
2" ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? ❑ YES NO
Signature ofReeei
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)
S "fib J
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)