HomeMy WebLinkAbout4521 WILSON ROAD _HMBP 5.10.11UNIFIED 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
INSPECTION DATE
INSPECTION TIME
COMMENTS
3'
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Consent to Inspect Name /Title
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ 'COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( c= Compiance) OPERATION
V= Violation
COMMENTS
3'
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑'
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
19 /
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Y
❑
CORRECT OCCUPANCY
(CBC:401)
❑'
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑°
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0'
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑�
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ .
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
IP'
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑/
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑,"
❑
EMERGENCY PROCEDURES ADEQUATE.
(CCR: 2731)
0'
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
0"
❑
HOUSEKEEPING
(CFC: 304.1)
IT"
❑
FIRE PROTECTION
(CFC: 903 & 906)
0,1f
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Signature of Receipt
j
Explain:
POST INSPEC'r1ON 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
White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10)