HomeMy WebLinkAbout601 GOLDEN STATE AVENUE_HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
FACILITY NAME
&
BAKERSFIELD FIRE DEPT.
INSPECTION TIME
/5
Prevention Services
CAR 1 =D
2101 H Street
r
Bakersfield, CA 93301
NO OF EMPLOYEES
Tel.: (661) 326 -3979
BUSINESS ID NUMBER
—2—If X10
Fax: (661) 852 -2171
FACILITY NAME
&
INSPECTION DATE
INSPECTION TIME
/5
-� t
5-10-11
ADDRESS
U&01
PHONE NO.
322 -XTS0
NO OF EMPLOYEES
FACILITY CONTACT ^
3-0k, 14 -- i2- -T39
BUSINESS ID NUMBER
—2—If X10
e
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
CORRECT OCCUPANCY
(CBC: 401)
A �; Section 1: Business Plan_ and Inventory Program`s
IV ROUTINE ❑ COMBINED e ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
El"' ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
9--*"❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
EEf / ❑
CORRECT OCCUPANCY
(CBC: 401)
'
CY ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
9- ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0 ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
13- ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
ly ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
93-� ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
a ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Er' ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
ET' ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
51-" ❑
HOUSEKEEPING
(CFC: 304.1)
B- ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ES ❑
NO
Si nature ofRecei
Explain:
,
t
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
Signa re at all violations havofeen 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)
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