HomeMy WebLinkAbout8501 BRIMHALLUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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B E R S F I _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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INSPECTI N D TE
INSPECTION TIME
COMMENTS
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APPROPRIATE PERMIT ON HAND
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
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Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
FACILITY CONTACT
BUSINESS ID NUMBER
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
Sec It on1 Business Plan and Inventory Programs
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINTc ❑ RE- INSPECTION
C
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C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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❑
❑
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)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
❑
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(0, 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 of Receipt
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
44-1--L
Signature (tha all violations have been corrected as noted)
L (�t -7 /1a .
Date
White — Business Copy Yellow —Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)
UNIFIED PROGRAM INSPECTION CHECKLIST
-5 E C T I O N 1: Business Plan and Inventory Program
BAWERSF1 D
FIRE
D ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
i�IALYSIS - �Jf�1 ✓I,1/JA `L
INSPECTI • N DATE
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INSPECTION TIME
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
JU C 4� 17L AAA S::G L17-
❑
Consent to Inspect Name /Title
Section.1 ;� Business Plan and Inventory Program d w
v
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
c C= Compliance OPERATION
V= Violation
COMMENTS
El.
❑
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)
T—
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
L SU t oA L
❑
❑
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))
El
El
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1--rv1 S OrC
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
IAL
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY
HAZARDOUS WASTE ON SITE? El YES
NO
Signature of Receipt
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)
1 (/1-7//j
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6#10)