HomeMy WebLinkAbout720 20 STREET _HMBP 5.10.11UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B G R_ S F I_ L D
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE
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INSPECTION TIME
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APPROPRIATE PERMIT ON HAND
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ADDRESS
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BUSI11eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
PHONE NO.
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NO OF EMPLOYEES
SLD
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
EP ❑
CORRECT OCCUPANCY
(CBC:401)
Consent to Inspect Name /Title ,
U ❑
VERIFICATION OF INVENTORY MATERIALS
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Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
/
B. ❑
BUSI11eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
LN' ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
EP ❑
CORRECT OCCUPANCY
(CBC:401)
U ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR:,�7,29.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
VERIFICATION OF LOCATION
(CCR: 2729.2)
y /❑
M ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
[] ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
L-1 ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
530'0' El
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
Q ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
Cg ❑
FIRE PROTECTION
(CFC: 903 & 906)
EK ❑
SITE DIAGRAM ADEQUATE & OWHAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? ❑ YES
Dr NO
Signature ofReceipt v
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)