HomeMy WebLinkAboutBUSINESS PLAN 4/23/2014KERN BUSINESS FORMS - (661) 325 -5818 - #6013
e BAKERSFIELD FIRE DEPT.'
Preven on Sery ces
E R S .F i L.D
UNIFIED PROGRAM_ INSPECTION CHECKLIST B..,. ...
2101 H Street
FIRE,a .
ARM r Bakersf eld,fCA 93301 .
S E {'+T I 0 N 1:: Busin ss Plan and Inventory Program Tel.: .(661) 32.6 -3979.
Fax: (661) 8S2' -2171
FACILITY NAME
INSP CTION'DATE
INSPECTION TIME
»
ADDRESS _
PHONE NOTE
NO OF EMPLOYEES'
FACILITY CONTACT
BUSINESS' ID.:NUMBER
��,�w'•—
, ,+py .fir,. -g �^^y
Corisent to Inspect Na e /Title
., ,:,.... .. .:.. ..... < .,.a. .. .., ........ ,....:... 3, .. ..::, .. .....s. . , <. ,.
... ,t....... . ,,, ':. ` s ,.:... .:.:..x. '•<' ,. -:,. <.... ". .F is .....< , ?...
�,'. y�y�7'..
... .. ':.. .., .". 2 ..}}//ma�yy ■/^. +A� !/may a.. .. , '�: ": e�'� ®� .��� .R,�II, +,
. y J f ■ uL 3 W
❑. ROUTINE. ` COMBINED ❑ _ JOINT AGENCY ❑ 'MULTkAGENCY ❑ . COMPLAINT ❑ , RE- INSPECTION
C= Compliance
C V: ( ) OPERATION
COMMENTS,
V= Violation
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.0$0)
753t!:_—E1 BusineSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
C ❑ CORRECT OCCUPANCY (CBC: 401)
�'�
❑ - VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
ea . ❑ VERIFICATION OF QUANTITIES (CCR: 2729,:4)
W
i
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704:1)
' ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
.0._ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES &,PRO'CED.URES (CCR: 2731(c))
❑ EMERGEN;CY;PROCEDURES ADEQUATE ' (CCR: 2731).
❑ C.ONTAINERS.PROPERLY LABELED. (CCR: 66262,34(f), CFC: 2703.5)
❑ HOUSEKEEPING (CFC: 304:1)
Pp ry g
❑ FIRE PROTECTION :: :. (CFC: 903 &.906).
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR:,2729.2)
J
ANY_, HAZARDOUS WASTE ON SITE? ❑ YES. NO
SilInatureofReceiyt
Erxplaih:
POST INSPECTION INSTRUCTIONS:` r
/ . Signature (that violations have been corrected as noted)
• Correct the violation(s) noted above by all
• Within 5 days of correcting all of the violations,, sign and, return a copy of this page to: