HomeMy WebLinkAbout7601 KROLL WAY_HMBP 6.14.11UI�JIE1b PROGRAM -INSPECTION CHECKLIST
SECTION 1:. Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
rAR L ....n 2101 H Street
it Bakersfield, CA 93301
FACILITY NAME L
INSPECTION DATE
INSPECTION TIME
ADDRESS D /
r
PHONE NO.
A
NO OF EMPLOYEES
..
Tel.: (661) 326 73979.
Consent to InspelEt Name /Tlitle,�
Fax: (661) 852 -2171
FACILITY NAME L
INSPECTION DATE
INSPECTION TIME
ADDRESS D /
r
PHONE NO.
A
NO OF EMPLOYEES
FACILITY CONTACT
l� v,�To_4j en
BUSINESS ID NUMBER
zl
Consent to InspelEt Name /Tlitle,�
Secti,o_n 1 Busine "ss "Pl "an and��lnventory 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)
❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
QQ ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
�Q ❑
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))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Signature ofReceipt
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
V
Signature (that all violations have been corrected as noted)
Date
While —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10)
1.10I,F(i b PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
ILA R S F 1 9 hItE 2101 H Street
RTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAMEL,, w �r
INSPECTION DATE
( -/)
INSPECTION TIME
'/b -z-,
ADDRESS / /
6^
PHONE NO.
NO OF EMPLOYEES
AJ
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspe t 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
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
LR ❑
BUSIfIeSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
C ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
CORRECT OCCUPANCY
(CBC: 401)
.,
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
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))
9f) ❑
i
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING ._
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES
rNO
Si nature of Rece' t
Grp .off
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
I
Signature (that all violations have been corrected as noted)
Date
While —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)