HomeMy WebLinkAboutBUSINESS PLAN 1/22/2013 1
D FIRE EP
TO,
'I'.
,
Preve
tinon Services
F3 E R S F I L U
'
UNIFIE10- PROGRAM' INSPECTION CHE'
CKLIST
b 2
..... ........
FIR ' 101 H Street
.:..........................:....::+ xv,........... ::..,.{,..n..........v.......wM405.h?%<0•v ,'.2
. ..........,.. .., f4:f.'luv'y'<'•4%
..,,, :..x:..: %�. 4,rx...ay.v:v:i..ci.i:.,•..::,w.:,•n,•x.•..:•x•.,.,, .,.i:.:.....,•:.:.::.:::•�:::.:.•:•x•::•,.x,•
.......:...A....r..:..v.:..:n.:....... ...........v. ..R:.n:nvx..
.... .... ....................:,n .n... ................................ ........ .... y,;..vix•y,.•..4,r.:•4+i%•sti4.:•:•tto+
......:. v.: ... ...w...... .....r...........................x......,... ..n.:,n:.x w :r .. .14v,,.gvr•�%iaN,r::f•n:ir:v
• '. .1J:x..v.•.:Kr rw,w:mvrc.:...........n........J....v.v':.4x FY nm.n.nrw:m...n.......::...::o.:n..>c,,,.>:....\n...................................
m� \rry �� ..... .....:.... :.v•p.,4:,tn,uv;v.YO rx, .......F....v.v..nv ......x::..::!::.:.•i'hW:::�,v<••f:
n..v.v.v•,.•:f.vx; •:.%:%:n9nff::nv:Y.::O':lfv..
•• , rwnq:SVr.Y mnvn ........../.v x.Mry. w:i....rift F v+n•.nvx. ^ vnx......x..........v.... �Frx,.r YiKrv'�n 5tir:+y;: � * :
�RTN T 'Bakersfield,CA-9.3301,
SECTION. 1 ..' Business Inventory.Progra Plan and 'Tel.: (66.1 326 3979'
Fax: (661) 852=2171;
FACILITYr;_.NAME
.. ��
N I E
, E
E
t
ADDRESS . : ..c..�; � ,�{
:NW'
PHONE NO. NO OF EMPLOY ES'
.�. .�;' ji 1:4,oy. •'y..;j.. y�.i,�.. �r}'� ry�v. `*"=c. r .. A�. 1 I�. ;E' .+i' � �' .� "'' �rr� v !, :. -
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
'I
- BusN� .
' ROUTINE
COMBINED ❑ •�JOINTAGENCY El MULTI-AGENCY ' ❑ COMPLAINT 0 RE-INSPECTION--.
C V c`Compliance OPERATION
.. :V=Violation C O M IVI E N T S
M ❑ APPROPRIATE PERMIT ON HAND (BMC:"15.65.'80)
11 _-BusineSS PLAN CONTACT INFORMATION ACCURATE CCR:2729.1)..-
El" ❑ VISIBLE ADDRESS (CFC:505.1,BMC:.15.52. 20)
F"`' El. CORRECT OCCUPANCY
(CBC: 01)
VERIFICATION OF INVENTORY MATERIALS
(CCR:27 9.3),
' '' QUANTITIES CCR:27 9.4
( )
0 VERIFICATION OF Q . .
,
11 VERIFICATION OF LOCATION (CCR.27 9.2)
El PROPER SEGREGATION OF MATERIAL (CFC 2704.1)*
•
0 0 VERIFICATION OF MSDS AVAILABILITY _ .. 1/CCR:2729.2(3)(b))
\
s
-
t
r:.
ti
VERIFICATION OF HAZ MAT TRAINING (CCR:2`32)
ET VERIFICATION OF ABATEMENT SUPPLIES&PROCEDURES (CCR:2731
.(c))
0 EMERGENCY PROCEDURES ADEQUATE (CCR:2731).
�.
" CONTAINERS PROPERLY LABELED .
(CCR:66262.34(f),CFC:2703.5)
El I
..'El, HOUSEKEEPING (CFC:304.1)
El PROTECTION (CFC:903&906)
m
❑ SITE DIAGRAM ADEQUATE&ON HAND .(CCR:2729.2)
ANY',HAZARDOUS WASTE ON SITE? 0 YES 0 NO Signature of Receipt
POST INSPECTION INSTRUCTIONS:
_' Correct the violation(s)noted above by Signature(that all violations,have been corrected as noted)
• Within 5 days of correcting ail of the violations,sign and return a copy of this page to:
"�
Bakersfield Fire Dept.,Prevention Services,2101 H Street,California 9301 . .
• bate -
White—Business Copy 'Yellow-Business Copy to be Sent in after return to Compliance Pink"Prevention Services Copy FD2155(B.Qv 6L110)