HomeMy WebLinkAbout4811 KIMBER AVENUE_HMBP 3.15.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
.
B A K E R S F I D
FIRE
0
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
Gc�ec.a� lLGE SE2t� /G6
INSP CTION DATE
j_0)
INSPECTION TIME
ADDRESS M
PHONE NO.
NO OF PLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
:° n Section 1 B�usrness Planand Inventory Program
N , M
❑ ROUTINE D ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance. OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
UP paqE
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC:401)
`
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ 0
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑ —r�b
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
�A
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
I
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
G
! ❑
HOUSEKEEPING
(CFC: 304.1)LZ1'�
` ^S
�9a ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑ �
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
O
ANY HAZARDOUS WASTE ON SITE? ❑ YES ENO
Si natureofRe li
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by IJI
• 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
ignature (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 6//10)
S
i� BAKERSFIELD FIRE DEPT.
A Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ' F " s F 1 �� 2101 H Street
FIRE
D ARTMEIT Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
�.fLGE SEtiU�CG—
INSPECTION
'PECTION DATE
%iJ
INSPECTION TIME
G�vG�Ac:
J / /..4
C]� ❑
ADDRESS
PHONE NO
NO F EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
O% 'XV e 94 1 n a erne,-t , CO
'C. b �J Z)..5 ./ —
Section 1: Business Plan and Inventory Program
❑ ROUTINE NCOMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
l C= Compliance OPERATION
V= Violation
COMMENTS
C]� ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ ❑'t
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
LAP DXTC
7
G
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
,0l ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑� ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ -- ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
t'
0,,) ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑ ❑D
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑ (]a
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
fV J
/
C•)' ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑(:. ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(0, CFC: 2703.5)
0
Ef ❑
HOUSEKEEPING
(CFC: 304.1)
❑m ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑ ❑ >Q)SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑r:NCI
Signature ofRec t/
—
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 after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 6// 10)
) -S