HomeMy WebLinkAbout7001 WHITE LANE_HMBP 5.26.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
A
4AE R s P l iE L D
FIRE
Or ARIM r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
1
AV 0�^Okt , �lr
' /.26is�
APPROPRIATE PERMIT ON HAND
ADDRESS
1
y
're . 15 f CA 9
PHONE NO. '
661 =q 3¢-"N 9Y
NO OF EMPLOYEES
Q.
FACILITY CONTACT
BUSINESS ID NUMBER
(CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
Me ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY 1. ❑ COMPLAINT -❑ RE- INSPECTION
C v
C= Compliance OPERATION
V= Violation
COMMENTS
31"—D
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑1 ❑
V
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
tC)� ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
-
�❑��� ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
(54_ ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
E3,4— El
VERIFICATION OF LOCATION
(CCR: 2729.2)
Gtl` ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
0><,13
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
C[0'� ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
(0L—E]
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
c[]" ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
,OC,`❑
HOUSEKEEPING
(CFC: 304.1)
[&/,❑
FIRE PROTECTION
(CFC: 903 & 906)
S`❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? Oe-YES
❑ NO
SignatueeofReceibt,
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
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)