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HomeMy WebLinkAboutBUSINESS PLAN 1/16/2013LL , BAKERSFIR : Prevention UNIFIED'P.ROG�RAM INSPECTION CHECKLIST : ......... ........ . .. R 5..:>~ ... L....0 2101 H n...:..., 'w•.w.....n_.�:<., :....::....n,.xxwrw.n.,.r :n.xxx:.x.. x Street f FIRS •:.... .. r. .. .., nv. v, v. n .. ...::.. .v •..:.:, n b::.:....>.: ?.:n:� v:•}: ...vv .......:...........x:.wnx: . . ,..n,. ,•.... M yA:.i: .. .v...m.,. . : :.. .....:..... .. n,...n....vh. ,. ... .. ...........::. x... }.n........ :..v : . }:}v. ::Sxtixi< .... .c ..... ...... .......... u ............................: ...............:....... x.. w : ..n::w.u.. ^HYS:v: ah c u.,. .»rn v r . nv1l.G.... ... .. n .. vn ....$. .. .........: ... .. .:.. .. <r : ... . n,. rxnnx, r... m. tn.... :n.......,....n.,:...,.n.,x...n Ym. r..•. r .. : ... n ...... ........T...........:.>.....mv. n; .,..: .: ...: ..: .,.....::A :4: O.v:ry,. n,:.�M: ?:un.v: �•. v.v:.vw:xv:::.v::nv::ry ': �:::: :x•:.v..tnr. \rvn•. Y.•.v +w•'•w•5• " "Y.. 'x n. n.:nn r.:..:.: n':..: wSj: 4ii :nvxnvri•:•`riJ:•?i }m:: } }}iv�i }: }:::: r ARr� r 'Bakersfield, A 93301 SECTION } 1r B S Plan and lnve�nto Program. Tel.: (661) 326=3979 ' Fax: (661) 852 -2171 FACILITY NAME f INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES ,�+ ,;..•�i ° it °� :J � � ,>f', 7r,q*t .. H;�:.:xy r� ,�d FACILITY CONTACT BUSINESS ID'NUMBER Consent to Inspect Name /Title �- ..: JOINT AGENCY ❑ MULTI -AGE.N . ECTION ' . C= Compliance O P ERATION COMMENTS _ V= Violation Q ❑ APPROPRIATE PERMIT ON HAND BMC: 15.65.080) - :rY El Business PLAN CONTACT INFORMATION- ACCURATE CCR: 2729.1. 11 ET. VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) , d ❑ CORRECT ,OCCUPANCY _ (CBC. 401) }' L- y ION OF INVENTORY MATERIALS (CCR: 2.729.3).; VERIFICATION � ' 21_t ❑ ' VERIFICATION OF QUANTITIES (CCR: 2729.4) Q ❑ VERIF.ICATION OF LOCATION (CCR:' 2729:2) T d ❑ PROPER SEGREGATION- :OF MATERIAL. (CFC: 2704.11) - ;D ❑ VERIFICATION OF.MSDS AVAILABILITY _ (CCR: 2729.2(3)(b)) I ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) El ET VERIFICATION OF ABATEMENT:SUPPLIES & PROCEDURES (CCR: 2731(c)) 0 E� EMERGENCY* PROCEDURES ADEQUATE (CCR: 2731) .... :21 El CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) Ef ❑ HOUSEKEEPING `(CFC:304.1) 0 1:1 FIRE PROTECTION (CFC: 903 & 906) f I SITE DIAGRAM ADEQUATE & ON HAND -= • I • � (CCR; 2729.2) , { ? El ;T :. Si nature of Receipt ANY HAZARDOUS WASTE ON SITE . YES NO ` ' till JIB. (' f ( i .4l { L} � 4•.un �� fj.� • � . 'd`.;,, o ; �';, fJ%; alt ?';t - f '+, Explain: POST; INSPECTION INSTRUCTIONS: 4 Correct the violations) noted above by Signature (that all violations have been corrected as noted) •. Within 5 days of correcting all of the violations, sign and return n-a copy.of this page to. } t Bakersfield Pare Dept., Prevention Services, 2191 H Street, California 93301. . Date .. _ White —Business Copy Yellow - Business Copy to be Sent in after return to Co npliance - Pink — Prevention Services Copy FD2155 (Rev 6L /10)