HomeMy WebLinkAboutBUSINESS PLAN 1/15/2014KERN BUSINESS FORMS -(661) 325 -5818- #6013
'13AKERSFIELD.PIRE DEPT..
Prevention rvi
nS ices
D
UNIFIED PROGRAM, INSPECTION CHECKLIST FIRE'. 2101:H�Stre6t.
RTN", r
Bakersfield; Ck9330-1
(6,61) 326-3979
SECTION. 1; Busine;�,.Pkan and lnvdnt6ry Program Tel.:,
Fax: (661) 852-2171
FACILITY NAME INSPECTI-QN.DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
Z, rA 9 9 5 72-72
BUSIINESS ID.N'UMBER
FACILITY CONTACT
Consent to I nspect-Name/T Rte
d. S "Y ..... .....
41'p� VT
E71' �ROuTiNE;` COMBINED ❑ JOINT AGENCY MULTI AGENCY ❑ El COMPLAINT ❑ RE-INSPECTIO . N
'S
ram
C C=Complia'nce
-OPERATION COMM
i -ENTS
V=Violation
❑- APPROPRIATE PERMIT ON HAND (BMC: 15.65.080).
jA-
POST INSPECTION, INSTRUCTIONS:
Correct the violations) noted above by Signature, (that all violations have been corrected as noted)
Within 5 days -of correctimz all of `the violations, sign and return a copy of this page to:
❑
Business .I-LAN kUN I ACT iNFORMATIO.N ACCURATE
❑
❑
VISIBLE ADDRESS
(CFC: K5.1, BMC: 15.52.020)
El
CORRECT OCCUPANCY
(CBC: 401)
n-.
VERIFICATION Or INVENTORY MATERIALS
.(CCR: 2729.3)
SL
❑
VERIFICATION OF QUANTITIES,
(CCR:,2729.4),-.
w-
0
VERIFICATION OF LOCATION
2729.2)
El.
PROPER SEGREGATION OF,MATERIAL
(CFC: 2704.1)
EI
VERIFICATION OF -MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
El
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES. (CCR: 2731(c))
0
EMERGENCY-PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED
&1,4
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1.)
❑
F IRE. PROTECTION
(CFC: 903.& 906)
❑
SITE DIAGRAM ADEQUATE & ON : HAND
- :(CCR: 2729.2)
ANY HA . ZARDO I US WA . ST*E ON SITE? ❑ YES NO
Signatureof-Receipt 01
wi
_Explain:'
POST INSPECTION, INSTRUCTIONS:
Correct the violations) noted above by Signature, (that all violations have been corrected as noted)
Within 5 days -of correctimz all of `the violations, sign and return a copy of this page to: