HomeMy WebLinkAboutBUSINESS PLAN 5/16/2012UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
e e R s P t H D.
f /RF
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
G- /Z
Cl
ADDRESS PHONE NO. NO OF EMPLOYEES
r- 32 .3 -z9Ly
FACILITY CONTACT BUSINESS ID NUMBER
5 - Gz/ — vaoo zo
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
Cl APPROPRIATE PERMIT ON HAND BMC: 15.65.080) C
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 CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2) 1` \ \ , ,
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(1], 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 SianatureofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
Within 5 days ofcorrecting 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 after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 61/10)