HomeMy WebLinkAbout6541 WHITE LANE_HMBP 5.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSVIELD FIRE DEPT.
Prevention Services
>i.... ' ..__E._R_..._5__�._I_ t3 I_..__D 2101 H Street
FIRE
D ARTM ." T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME 'INSPECTION
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C= Compliance OPERATION
V= Violation
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IN P CT I N TIME
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ADDRESS � ,5 � 1 0�i
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Sut�P 133()l
P� I NO. 3q7
NO O�MPLOYEES
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-?70
FACILITY CONTACT
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VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
BUSINESS7JID NUMBER
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Consent to Inspect ame /Title
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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VERIFICATION OF QUANTITIES,
(CCR: 2729.4)
Section 1 P Business Plan and Inventory Program
IX ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
..104
C v
C= Compliance OPERATION
V= Violation
COMMENT S
Lei 1:1
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
[� ❑
Business 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)
❑' ❑
VERIFICATION OF QUANTITIES,
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
1Y ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0- ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
IX ❑
CONTAINERS PROPERLY LABELED-
(CCR: 66262.34(f), CFC: 2703.5)
( ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
I ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
Signature of Receipt
Y1 6,4
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 FD2155 (Rev 6//10)