HomeMy WebLinkAbout5075 GOSFORD ROAD_HMBP 5.27.11UNIFIED PROGRAM INSPECTION- CHECKLIST
SECTION 1: Business Plan arf :Inventory Program
y
BAKERSFIELD, FIRE DEPT.
Prevention Services
B >: R S P_I I. 0 2101 H Street
F /RE
ARTM r Bakersfield, CA 93301..
FACILITY NAME _ t
INSPECTION DATE
INSPECTION 1TIME
G.C. MA-4. r wr'
S-Z� -II
Jbs� /1130
�"•
- -Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 852 -2171
FACILITY NAME _ t
INSPECTION DATE
INSPECTION 1TIME
G.C. MA-4. r wr'
S-Z� -II
Jbs� /1130
ADDRESS
PHONE NO.
NO OF EMPLOYEES
56-7 �' [�aSjPc, mod'
41- z3Z_3o9
SD
FACILITY CONTACT - Y4
BUSINESS ID NUMBER
E_ ..__
CORRECT OCCUPANCY
(CBC: 401) _
Consent to Inspect Name /Title.
r ❑ ❑
4�
Section 1: Business Plan and Inventory Program
1542ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY. ❑ COMPLAINT _ ❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65:080)
r
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
E_ ..__
❑
CORRECT OCCUPANCY
(CBC: 401) _
r ❑ ❑
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)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
:t
\ El
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES ❑
`L
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 2155 (Rev 6//10)