HomeMy WebLinkAboutDISTRICT & GOSFORDUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
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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 ptt
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INSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND
ADDRESS
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PHONE NO.
15 173-71bt�
NO OF EMPLOYEES
D
BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
OrA
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❑
FACILITY CONTACT
(CFC: 505.1, BMC: 15.52.020)
IIUSINESS ID NUMBER -
L
15 973- 7000
CORRECT OCCUPANCY
Consent to Inspect -lame /Title
Or
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT . ❑ RE- INSPECTION
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v
( C= Compliance OPERATION
V= Violation
COMMENTS
l_�,r
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
L�
❑
BUSIC1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Lf
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
Ey
❑
CORRECT OCCUPANCY
(CBC: 401)
Or
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
`K
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
QY
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
lh(
❑
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)
C<
❑
HOUSEKEEPING
(CFC: 304.1)
19.
❑
FIRE PROTECTION
(CFC: 903 & 906)
Di
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑YES EYNO
Signature of Receipt
AIAIP-
Explain:
POS "r INSPECTION INSTRUC77ON5:
• 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 17D2155 (Rev 6/110)