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HomeMy WebLinkAbout4400 COFFEE ROAD _HMBP 12.10.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B AAWE R 5 17'11M. D i/RE D ARTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Cryq - ' INSPECTION DATE INSPECTION TIME ^� El 'E) APPROPRIATE PERMIT ON HAND. (BMC: 15.65.080) to \li .\ r- Feaj l-T 1C9 0IoC f,4,- ate' 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 ^� El 'E) 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) ` .01 -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: U • 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)