HomeMy WebLinkAbout6919 WHITE LANE_HMBP 5.26.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
•
B_AVA R R 5_.. f _I 1_D
FiIRE
RTM I T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
( C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
"Z— ❑
(BMC: 15.65.080)
11.3v
ADDRESS s`
Business PLAN CONTACT INFORMATION ACCURATE
PHON NO.
NO OF EMPLOYEES
N .
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
6 61 - 39g-C911
4-
FACILITY CONTACT
(CBC: 401)
BUSINESS ID NUMBER
EQ/ ❑
VERIFICATION OF INVENTORY MATERIALS
4 q4
5V ❑
Consent to Inspect Name /Title%J�'
PnG� vy¢cfc
[5 ❑
VERIFICATION OF LOCATION
60 _214-S6
[5-_ ❑
PROPER SEGREGATION OF MATERIAL
��❑
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
"Z— ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
ILL.❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
�! ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY,
(CBC: 401)
-
EQ/ ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
5V ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
[5 ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
[5-_ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
��❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑`� ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
�.� ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
f
@,-L-, ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
❑ <❑
HOUSEKEEPING
(CFC: 304.1)
9c❑
FIRE PROTECTION
(CFC: 903 & 906)
�❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS J(4 /W �(-N r SliTryE � N / S,,j;V ,,,_% � �ES El
NO
Signature ofReceipt
� �7
Explain:
t---"J
PUS'r INSPECTIUN INS' RUC'I'IUNS:
• 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, Califomia 93301
c Signature (that all violations have been corrected as noted)
r
Date
While — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6/110)
7