HomeMy WebLinkAboutBUSINESS PLAN 6/13/2013fi ROUTINE ❑ COMBINED ❑ JOINT AGENCY --
; � ❑ MULTI- AGENCY 1:1 COMPLAINT ❑ RE-INSPECTION, .
C C Co
V
- V- Violation
' pliance '
OPERATION
COMMENTS
--�
BAKERSFIE�
! I
it
�i
D FIRE DEPT.
El, 0 .. BUSIC1eSs PLAN CONTACT INFORMATION ACCURATE (CCR; 2729.1)
r �
Preven on
ti
erviceS
UNIFIED P R
❑ . CORRECT OCCUPANCY (CBC: 401)
_
m
_ I..
A � � � �L.D
210 H Street
1 St e
:...� .. k.x..Mxr.. :..:.F.:::...:...:....
.v.x.:xN.w..v�.�,�m
.................... . ..:...... .. ..::::...u........ s. u.: [.xh; .... ....
�"' :. my ... Fm.x: u... nE............x..
...: :{.vxvx:a:vM :.x.3... •i- .:........vxwu+x•.. : w -::: x.::..v:.xxwv..v.v.
... nv. v, :.: .. .%... S..c,3 v::::h[.i3:[x:x : nn•,: ..y.64 �:..(x:1 •x•m: • •:::: xv: m•.v.vnn.wmvmv.•,::v •
.. .v.. a ..:.. w.:.. %....v... : .u..r.!... [.: v.... xv..: ..MOSS?U::C:c %%•:\ . m:3%p?Xv
u ...: .n•[..:: %:[[4. ..cx...n... ...:: [[ :Y.:[: %5:::'v' <vYx[4:n3:[: ?::.5
. w:.. nwv.:w.:vv[•. ^ ?i:Y.•:w:S:KvnviN nvi}.iv.�i:::i >::: Si:iS:G4iti5: .............5....h l`vvxnw.v :.. nv:: nv.J .... ..�.. +u I : n: w.
)1
ARTM r
Bakersfield, CA
.
9 3 3 0 1
SECTION- 1.
Business
Plan and InventoryProg ram
Tel.: (661 3'
I
6 -3979
j
0 ❑ VERIFICATION
w
Fax: (661) 832-2171
..�
ECTION TIME
FACIL .•�'F�NAM --��
4 ,
OF ABATEMENT SUPPLIES '& PROCEDURES (CCR: 2731(c))
INSECT .1_yDATE
'!
INS'
❑ EMERGENCY
PROCEDURES ADEQUATE (CCR: 2731)
El ❑ CONTAINERS
PROPERLY LABELED CFC: 2703.5)
(CCR: 66262.34(f),
OF kPLOYEES
ADDRSr 7..4iY
, "4, wt�tg
PHONE NO.
NO
❑ FIRE PROTECTION CFC: 903 & 906
Fl ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
V
ANY HAZARDOUS WASTE ON SITE? ❑ YES � ' Signature I �
�� N O � - - - of Receipt
Explain.
FACILITY CONTACT
BUSINESS ID NUMBER
t
Consent to Inspect Nameffitle
fi ROUTINE ❑ COMBINED ❑ JOINT AGENCY --
; � ❑ MULTI- AGENCY 1:1 COMPLAINT ❑ RE-INSPECTION, .
C C Co
V
- V- Violation
' pliance '
OPERATION
COMMENTS
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
El, 0 .. BUSIC1eSs 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)
I
VERIFICATION OF QUANTITIES (CCR: 2729.4) .
El ❑ ! VERIFICATION OF LOCATION (CCR: 2729.2)
0 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
E] ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2,729.2(3)(b))
0 ❑ VERIFICATION
OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION
OF ABATEMENT SUPPLIES '& PROCEDURES (CCR: 2731(c))
❑ EMERGENCY
PROCEDURES ADEQUATE (CCR: 2731)
El ❑ CONTAINERS
PROPERLY LABELED CFC: 2703.5)
(CCR: 66262.34(f),
El HOUSEKEEPING
(CFC: 304.1)
❑ FIRE PROTECTION CFC: 903 & 906
Fl ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
V
ANY HAZARDOUS WASTE ON SITE? ❑ YES � ' Signature I �
�� N O � - - - of Receipt
Explain.
A VIJ1 J.11 131 L' VAA%_X1I JAU. 0XXXvi%_.JLAV1r17
• Correct the violations) noted above by _ Signature
• 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
Date
White j —Business Copy Yellow: — Business Copy to be Sent in after return to Compliance Pink Services Copy
it
�fi �` 4ATM.'Y:•`�•:J-- Y�i'M.f..: f r •Y ry .�. >Jr 44 M
all violatxnlis have'�been corrected
As noted)
(�Y l lg� iY tj
FD2155 (Rev 6H10)