HomeMy WebLinkAboutBUSINESS PLAN & INVENTORY 11-26-2013KERN BUSINESS FORMS - (661) 325 -5818 -#6013
BAKERSFIELD
FIRE DEPT.'
ireventionServices,
UNIFIED PROGRAM: INSPECTION C�HE.CKLIST �
E.,R 5 F.:.�
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S E {; N T I`O '. I :: Busi Tess Plan and Inverntory Program
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l.: (661) 326 -3979
Fax:
(66.1) 852 =2171
FACILITY NAME
INSPECTION,
DATE
INSPECTION TIME
ADDRESS
PHONE NO.i
NO OF EMPLOYEES
2t 6
FACILITY CONTACT .
BUSINESS ID
NUMBER
Consent -to Inspect Name/Title,
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,; Ir�rrenAtolr
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Secl e�� Plan a: d
ro" ra
P Y S
...SPA•:
❑ ROUTINE COMBINED El JOINT AGENCY ❑. MULTI - AGENCY
❑ COMPLAINT
❑. RE- INSPECTION
r C= .Compliance. "OPERATIGN
COM�ENTS
V= Violation
APPROPRIATE PERMIT ON HAND (BMC:'15.65.080)
❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ ❑ VISIBLE ADDRESS (CF.C: 505.1, BMC: 15.52.020)
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❑ CORRECT OCCUPANCY (CBC: 401)
I
p (] .VERIFICATION. OF INVENTORY MATERIALS. (CCR:.2729.3)
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❑'' VERIFICATION OF QUANTITIES : (CCR: 2729.4)
j
•.
❑ VERIFICATION OF LOCATION, (CCR: 2729.2)
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❑ PROPER SEGREGATION OF MATERIAL - (CFC: 2704:1) .
I
❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
i
❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731 {c))
f,r
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El y CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC:.2703.5)
I
❑: HOUSEKEEPING (CFC: 304.1)
❑; FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
`
ANY HAZARD'OU"S WASTE ON SITE? ❑ YES NO
Si.g latureofReceip
Explain:
Mf ..p
POST-INSPECTION INSTRUCTIONS:
l
I
f
• Correct the violations) noted above by
Signature. (that alli
violations.have been corrected as noted)
wifl1i„ 5 Anvc cif cc,rrecting a11.of the violations, sign and return a copy of this page to: