HomeMy WebLinkAbout6261 WHITE LANE_HMBP 5.26.11t
..BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F I ESL D 2101 H Street
FIRE
D ARYN , T Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
le
5--2_4 / /
/21-5
2 AN .I
—
(BMC: 15.65.080)
ADDRESS i
PHONE NO. ��b`
NO OF EMPLOYEES
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1 %
Q,
FACILITY CONTACT
BUSINE S ID NUMBER
❑f
❑
CORRECT OCCUPANCY
Consent to Inspect Name /Tit7 t
EZ,
lf� ty f G U C t Dt f P
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1
Section 1: Business Plan and Inventory Program
D ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ -MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
�j
❑
APPROPRIATE PERMIT ON HAND ~
(BMC: 15.65.080)
m5
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Q,
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑f
❑
CORRECT OCCUPANCY
(CBC:401)
EZ,
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Or
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑r
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
01"'
El
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑>
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑•
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Cl-
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑�
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑`
❑ "—
CONTA, LINERS PROPERLY LABELED (CCR: 66262.34(q, CFC: 2703.5)
11
❑
HOUSEKEEPING
(CFC: 304.1)
d
❑
FIRE PROTECTION
(CFC: 903 & 906)
0�
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑SYES
❑ NO
Signature of Receipt ' 1'
I elf.
Explain:
171.
e rc 10( 0 ; ��l
1� it
PUS'F INSPECTION INS'`RUC11ONS: '
• 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)