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HomeMy WebLinkAbout6801 WHITE LANE_HMBP 5.26.11UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B /I E R S F I_E�. p FIRE D r ARTM 7 BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 =3979 Fax: (661) 852 -2171 FACILITY NAME �► eN' PN JD INSPECTION DATE INSPECTION TIME ADDRESS (0%01 ��, s fit PHONE NO. -2,b 31 NO OF EMPLOYEES FACILITY CONTACT jjj BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑'1❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 410 °110 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) .12 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) _[l""16 CORRECT OCCUPANCY (CBC: 401) -8 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) �(] VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0-1"6 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ,❑I~❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 0/'16 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ,3 El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) '21 11 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) .© ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 1�❑ HOUSEKEEPING (CFC: 304.1) 0�❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) {( ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt j 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 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) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A B_ A1' _ _E R _S_ r 1 E I._.._D �. F /RE 0 ARrM ; r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171. FACILITY NAME v e INSPECTION DATE INSPECTION TIME 5 to ,t e_ p;N� I�i��,rt� �c S-2� -II 12-00 ADDRESS ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) PHONE NO. NO OF EMPLOYEES ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) G- FACILIT CONTACT (� CORRECT OCCUPANCY (CBC: 401) BUSINESS ID NUMBER 0 ❑ VERIFICATION OF INVENTORY MATERIALS _ (CCR: 2729.3) Or Consent to Inspect Name /Title P'0 VERIFICATION OF QUANTITIES (CCR: 2729.4) M r VERIFICATION OF LOCATION (CCR: 2729.2) Section 1: Business Plan and Inventory Program - ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENT S 0<' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑CC" ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Ek ❑ CORRECT OCCUPANCY (CBC: 401) 0 ❑ VERIFICATION OF INVENTORY MATERIALS _ (CCR: 2729.3) Or ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑j ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 11 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑c ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) a ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) EN- ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) Og ❑ HOUSEKEEPING (CFC: 304.1) 115 ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? EYYES ❑ NO Signature of Receipt Explain: NOS "1' INSPIECrION 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 White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Signature (that all violations have been corrected as noted) Date / Pink — Prevention Services Copy ( FD2155 (Rev 6H] 0)