HomeMy WebLinkAbout4949 GOSFORD ROAD_HMBP 4.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
BAKERSFIELD FIRE DEPT.
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Preventi n Services
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2101 H S6t-e �
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Bakersfiel4L93301
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Tel.: (661) 32W3.979
BUSINESS ID NUMBER
S K S
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
Ll '7 665 46' 41
PHONE NO.
NO QjEMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
S K S
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C O
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Consent to Inspect Name /Title
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
)8� ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
ILIA ❑
BUSIIIeSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
u^ ❑
VERIFICATION OF QUANTITIES
(CCR:.2729.4)
('. ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
n
(CFC: 2704.1)
l� ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR; 2729.2(3)(b))
rt
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
r
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
15t, ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
�X ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, CFC: 2703.5)
c
�14 ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE ?. ❑ YES
O
Signature of Receipt
Explain:
JF
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)
'3
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance . Pink — Prevention Services Copy _ FD2155 (Rev 6H 10)