HomeMy WebLinkAboutBUSINESS PLAN AND INVENTORY PROGRAM 11-1-12.t.
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SECTION i : 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
3
INSPECTION DATE
INSPECTION TIME
ADDRESS '
r .'
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
?Isltn�
BUSINESS ID NUMBER
Consent to Inspect Name /Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Section '1: Business Plan and Inventory Program
71,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
r, COMMENTS
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080
?Isltn�
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
L
❑
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑.
Yr
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
❑
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(B))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: - 2731))
❑
❑
EMERGENCY PROCEDURES ADEQUATE.
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
❑
❑
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 }ofReEgipt
"f l!t f•Y" / "
Explain:
POST INSPECTION INSTRUCTIONS:
O . Refer to the back of this inspection report for regulatory citations and corrective actions
G Correct the violation(s) noted above by
C Within 5 days of correcting all of the violations; sign and return-a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 1-1 Street, California 93301
White — Business Copy Yellow 11 Business Copy to be Sent in aver return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 12/11)
UNIFIED PROGRAM INSPECTION CHECKLIST;
SECTION 1: Business Plan and Inventory Program
B _ t3 R S F I C. D
FIRE
D €�ARTM P
V�
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE
r i
INSPECTION TIME
�,^ S
-50 Pl'c ;' C
_ , -- J Z
APPROPRIATE PERMIT ON HAND
ADDRESS
PHONE NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
FACILITY CONTACT
VISIBLE ADDRESS
BUSINESS ID NUMBER
Consent to Inspect Name /Title
❑
❑
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: 1.65.080)
-'
• C L
❑
❑
BUSINESS 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
VERIFICATION OF LOCATION
(CCR: 2729.4)
(CCR: 2729.2)
t
j
/
i
❑
❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
❑
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(6))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY
HAZARDOUS WASTE ON SITE? ❑YES
❑ NO
SienatureofReceipt
Explain:
!
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• 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
i
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 F132155 (Rev 12/11)