HomeMy WebLinkAbout9810 UNION AVENUEUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B B R S P I D
00FIRE
0 ARTM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME l
Zd
I n
W ) P, less
INSPECTION DATE
INSPECTION TIME
ADDRESS
5010
❑
J c - C)IJ
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
❑
BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
Consent to Inspect Name /Title
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
¢Section -711T U amend 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)
❑
❑
BUSIf1eSS 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)
❑
❑
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))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
Z-97=im
❑
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
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 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
11 - 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 ` 1
V�/ f %ids
-SS
INSP CTION / DATE
INSPECTION TIME
ADDRESS
C
C) A.)
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
Business PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
Consent to Inspect Name /Title
b ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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)
❑ ❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
b ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
M;P ❑
CORRECT OCCUPANCY
(CBC: 401)
❑a ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
6 E 2S
❑ ❑
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))
❑ ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
c-
❑ ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5)
CC, 4�-
[i o ❑
HOUSEKEEPING
(CFC: 304.1)
❑ ❑
FIRE PROTECTION
(CF.C: 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
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)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
l�
B A _ E _R _ S F I E_ D
FIRE
.D ANYMFIT
BAKERSFIELD FIRE DEPT.
Prevention Services .
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
vpr 1 Z0A_) (�,a c.���
INSPECTION /, DATE
)J3 // I
INSPECTION TIME
ADDRESS 90 6
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
NS 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)
❑t ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
lift IC' ".
®7
❑
CORRECT OCCUPANCY
(CBC: 401)
❑`,
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
(7 rt
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
t1
a
❑
❑
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)
C1p0
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 1NSTRUC "1'I0NS:
• 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)