HomeMy WebLinkAbout4300 CALIFORNIA AVENUE_HMBP 6.2.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F I B L D
F /R* E,
AR f
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME C t 1
V
An A� �a s �
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INS�'PEE`�CTION
0
DATE
Q 7 j+ 11
INS �T�ON T ME
/
ADDRESS
DO
C/ G •
PHONE NO
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NO OF EMPLOYEES
FACILITY CONTACT S9QN
� � �� � - 1
1 /�• l�fj
BUSINESS ID NUMBER
6 23 ( //}
Consent to Inspect Name /Title
I ❑
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
r C= Compliance OPERATION
l
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
a ❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
I ❑
CORRECT OCCUPANCY
.(CBC:401)
❑ Imo'
�//
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑ \
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ 4 `
(�
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑ \
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ '
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
(�+ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
C ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING O�
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES EXQ
O
Signature ofReceipt
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 (thatlall violations have been corrected as noted)
oWO2_111
Date
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10)