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HomeMy WebLinkAboutBUSINESS PLAN 9/27/2012UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business. Plan and Inventory Program B_ ARTM _ RS F I I L_; FIRE T BAKERSFIELD FIRE 'DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661)326.-3979, . Fax: (661) 852 -2171 FACT ITY NAME INSPEC ION DA INSPECTION TIME ADDRESS j ` N a PHONIE NO. NO,OF EMPLOYEES FACILITY CONTACT 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. OCIi APPROPRIATE PERMIT ON HAND BMC: 15.65.080) o Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) T CORRECT OCCUPANCY CBC: 401) 44e— i El VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) 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(g, 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 Si oatureofReeei tC l Z.W/72Z 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 ofthis page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93.301 Signature' (that all violations have been corrected as noted) 5 %7/ z Date White —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) t UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B _ F. R S F I E_L D FIRE A R rX r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Cr 1yi'i INSPECTION DAyE 7z INSPECTION TIME ADDRESS ( r PHONE NO. NO OF EMPLOYEES FACILITY CONTACT 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 114 1 APPROPRIATE PERMIT ON HAND BMC: 15.65.080) ft.= Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) li A C2 S1 El VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) J p 9PX ? 1-ZC CORRECT OCCUPANCY CBC: 401) 4-4ei VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) 774A 0r- S 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(g, 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? El 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, Calirornia 93301 Signature (that all violations have been corrected as noted) Date White —Business Copy Yellow — Business Copy to be Sent in afler returnto Compliance Pink — Prevention Services Copy FD2155 (Rev 010)