HomeMy WebLinkAbout516 GOLDEN STATE AVENUE _HMBP 5.12.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F 19 I. D
FIRE
D� ARTM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE
INSPECTION TIME
COMMENTS
V= Violation
ADDRESS
PHONE NO.
371
NO OF EMPLOYEES
FACILITY CONTACT
l
BUSINE/S�S ID NUMBER
j
Consent to Inspect Name /Title
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
COMMENTS
V= Violation
e
��-
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
�O
�❑/
r
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑�
❑
CORRECT OCCUPANCY
(CBC: 401)
r
El
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
i
0
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
r"
0
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
El
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
LJ
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
LJ
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
7 }
❑
HOUSEKEEPING
(CFC: 304.1)
0
❑
FIRE PROTECTION
(CFC: 903 & 906)
3
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
�
ANY HAZARDOUS WASTE ON SITE? OYES ❑
NO
Signature ofRec '
Explain:
Doi (? I ! € ? + cl �
POST INSPEC'FlON INS'FRUC'1'10NS:
• 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
t
Signature (that vi ati nsthave all been cor er cte�}as noted)
Date
While —Business Copy Yellow — Business Copy to be Sent in after return to Compliance . I - Pink — Prevention Services Copy FD2155 (Rev 6//10)