HomeMy WebLinkAboutBUSINESS PLAN 5/27/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B E R S F i _n
FIRE
D ARTM
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECT ON DATE
9 7? INSPECTION TIME
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I> APPROPRIATE PERMIT ON HAND
ADDRESS
11 i uC k
PHONE NO.
57,- 01-7 r
NO OF EMPLOYEES
13
AGILITY CONTACT 1,,
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BUSINESS ID NUMBER
Consent to Inspect Name /Title {a1 - p 1 - tvZ
Daae ("W- ,ZUli - 074
CORRECT OCCUPANCY CBC: 401)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v C= Compliance OPERATION
V= Violation
COMMENTS
I> APPROPRIATE PERMIT ON HAND BMC: 15.65.080)
tAl 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) 11 1 (1
VERIFICATION OF QUANTITIES CCR: 2729.4) 1(
VERIFICATION OF LOCATION CCR:' %2729.2)
PROPER SEGREGATION OF MATERIAL . CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732) t f eW 13u $r M 55 !ja Reeotz,3.5V
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ,
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(g, CFC: 2703.5)
HOUSEKEEPING CFC: 304.1)
C,C FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) U 7F f N 1'
ANY HAZARDOUS WASTE ON SITE? YES N0 Signature ofRecei t
Explain:
Y-1 T - vJ A-ct-d eA5E
rUS t INNrEu I']ION lNS'rKUL 110NS:
Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy ofthis 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 FD2155 (Rev 6//10)
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