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HomeMy WebLinkAboutBUSINESS PLAN 12/21/2010UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 8 r E R 5 1' 1 W L D FIRE Aim T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME __Z_ Ap\,i P/- '9 1-7 -?4 INSPECTION D TE 2 /Z_( INSPECTION TIME 0 ADDRESS 4_kw PHONE NO. 391 — (44 7 NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER jj!!." PXTC—t C(°63-93344 S/4g_zZply, Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 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: 15.65.080) NC—L-j -r L t T'tJ -A/Ao, , Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) C A `_ % TE--A, K El El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) l *7 CS 10:iG Jnc%l'J 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) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(0, 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 of Receipt Explain: POST INSPECTION INSTRUCTIONS: 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) I UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Ef _ G R S P I 2 L D FIRE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME P" _#_ INSPECTION DATE INSPECTION TIME COMMENTS ADDRESS 210 l TArrT Hwy PHONE O. r^G7 NO OF EMPLOYEES FACILITY CONTACT lA, C- - 4:563-9334 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 i C= Compliance. OPERATION V= Violation COMMENTS APPROPRIATE PERMIT ON HAND BMC: 15.65.080) t.J , cz-, t -r _17- (t.) A "Al A Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) fit LL J?-EM4 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY CBC:401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 4c,,,` CaZ VERIFICATION OF QUANTITIES CCR: 2729.4) 2 o /10O' ej zOa VERIFICATION OF LOCATION CCR: 2729.2) PROPER SEGREGATION OF MATERIAL i CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.34(17, 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 ofRec t U Explain: POST INSPECTION INSTRUCTIONS: Correct the violation(s) noted above by Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy I'D2155 (Rev 6//10)