HomeMy WebLinkAbout4400 COFFEE ROAD _HMBP 12.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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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
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INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND.
(BMC: 15.65.080)
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ADDRESS ` ^' {�1
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PH /ONE NO. _r
NO OF EMPLOYEES
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
r
OQ ❑
FACILITY CONTACT
(CBC:401)
BUSINESS ID NUMBER
�s ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Consent to Inspect Name /Title
❑
VERIFICATION OF QUANTITIES
' (CCR. 2729.4)
bl' ❑
Section 1: Business Plan and Inventory Program
❑ ROUTINE "COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( c= Compliance OPERATION
V= Violation
C O M M E N T S
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APPROPRIATE PERMIT ON HAND.
(BMC: 15.65.080)
to \li .\ r- Feaj l-T 1C9 0IoC f,4,- ate'
.n.z ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
r
OQ ❑
CORRECTOCCUPANCY
(CBC:401)
- A
�s ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
' (CCR. 2729.4)
bl' ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(6))
b- ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
`
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-VERIFICATION,OFABATEMENT- SUPPLIES" &`PROCEDURES- `(CCR-2731(c))'
hl ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f , CFC: 2703.5)
❑ ❑
HOUSEKEEPING
(CFC: 304.1)
L�Q ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑ D+
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? DYES
❑ NO
Si'nature•ofRecei t _
Explain:
5- `✓ ��
POST INSPECTION INSTRUCTIONS:
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• Correct the violation(s) noted above by �� I,. 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:
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 6410)