HomeMy WebLinkAbout6601 WHITE Lane_HMBP 5.13.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B_ D' F R S F I B\L_D
FIRE
DTPARTNEIr
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
c C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
U
C%
aN�M1SSj N
APPROPRIATE PERMIT ON HAND
5-
ADDRESS
(
1330Y
PHONE NO.
661- 3q%-04 60
NO OF EMPLOYEES
S—
601
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
y/
L9a
BUSINESS ID NUMBER
CORRECT OCCUPANCY
N �e 6 1-- 37 3 - 09 0 57
Cr-
❑
Consent to Inspect Name /Title
®aC1 Ma
(CCR: 2729.3)
N e
❑
VERIFICATION OF QUANTITIES
u
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
C%
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
l�—
❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
y/
L9a
❑
CORRECT OCCUPANCY
(CBC: 401)
Cr-
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
13<
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
12'-
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
tanf
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
C3.
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703:5)
0(
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? OYES ❑
NO
Signature ofReceipt /.,� r
t r
1 Av
Explain:
j
PUS'F INSPUC' ION INS''RUC'I'UNS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• 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 J ��
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance „ Pink — Prevention Services Copy FD2155 (Rev 6H10)