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HomeMy WebLinkAbout4408 WIBLE ROAD_HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B_ E R ;EE 1 1_ D F /RE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME lUex�e I - INSPECTION DATE s - � v - � � INSPECTION TIME Iv �•: � . ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER (BMC: 15.65.080) y3-74/ Consent to Inspect Name/Title C V wi 9�.V COMMENTS,, i�L �"'�¢ bsr"�' 9�. K 4' eeCoawc e8 Section 1�II"Busmess Pl1;' and In�entort' ?..9.k�;� Progrram (BMC: 15.65.080) C� /( -kx w . ` S ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) A ROUTINE ❑ COMBINED ❑ JOINTAGENCY •❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION VISIBLE ADDRESS C V r C= Compliance O P E R A T I O N V= Violation COMMENTS,, i�L ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) C� /( -kx w . ` S ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) c9 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 15� ❑ CORRECT OCCUPANCY (CBC: 401) ' d& ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 4S. ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) AS, ❑ VERIFICATION OF LOCATION (CCR: 2729.2) Ok ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) M ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 9k ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) Ek ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ENO Signature of Receipt 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 White — Business Copy Yellow— Business Copy to be Sent in aller return to Compliance 73 Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:.. Business Plan and Inventory Program FACILITY NAME BAKERSFIELD FIRE DEPT. INSPECTION TIME /v IV \" A Prevention Services rAR 2101HStreet T Bakersfield, CA 93301 Consent to Inspect Name /Title Tel.: (661) 326 -3979 ©. Fax: (661) £352 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME /v IV \" A ADDRESS `mil �l0 t PHONE NO NO OF E OYEES FACILITY CONTACT BUSINESS ID NUMBER q3-7 413 Consent to Inspect Name /Title Section 1: Business Plan andinventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v l C= Compliance) OPERATION V= Violation COMMENTS Q ❑ 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) 121- ❑ CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Ek ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) Q ❑ VERIFICATION OF LOCATION (CCR: 2729.2) C3\ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 9�, ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ' K ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) II,T, ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) E2\ ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) 2T, ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES [�]�NO Signature of Receipt 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 While — Business Copy Yellow —, Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) t UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A B _ li R 5 F I E I_D F IRE Df)PARTM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ,Ueme INSPECTION DATE s_ 10 -I i INSPECTION TIME /vM;n. ADDRESS ) `✓�`✓� PHONE NO NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program P"', ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS [9._ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ff� ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) C. ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) L- ❑ CORRECT OCCUPANCY (CBC: 401) R9- ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0` ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) UK ❑, VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) OC ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 0(, ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EY ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ©', ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) Ox,, ❑ HOUSEKEEPING (CFC: 304.1) ❑\ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES 04NO Signature of Receipt 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) - //,/ -II Date White — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6Hl0)