HomeMy WebLinkAboutBUSINESS PLAN 6/26/2013KERN BUSINESS FORMS - (661) 325 -5818 - #6013
BAKERSFIELD FIRE ;DEPT,.
f.� 1 Preven. on Sery c es
? UNIFIED "'PROGR M INSP"ECTfON C�"'eECKLIST 2'101 H Street
aAi
Bakersfield, CA 9330.1
SECTION ".1 : Bus' ineSS Plana' n l Inventory Prodre�m Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
1NSP.EC ION: DATE
T
INSPECTION TIME
-
ADDRESS
PHONE ONE NQ.
NO OF EMPLOYEES .
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to'Inspect Name /Title
t S
. �++.:..
r
ENCY. ❑T MULTI-AGENCY, ❑ `COMPLAINT ❑.M RE- INSPECTION"
❑ ROUTINE COMBINED ❑ ` -JOINT AG �'
C= Compliance
C V (, ) OPERATION"
- C ® "MMENTS
V= Violation:
". APPROPRIATE PERMIT ON HAND (BMC:15.65080)
=
BusiheSs PLAN CONTACT INFORMATION ACCURATE .. . (CCR: 2728.1) .
-
❑ VISIBLEADD.RESS (CFC: 605.1,.BMC 15162.020)
CORRECT-OCCUPANCY (CBC: 401)
❑ " " VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2721x.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
I At
❑ 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(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
. ❑ FIRE PROTECTION (CFC::_903 & 906)
.
X�_[]_ SITE DIAGRAM ADEQUATE & ON HAND (CCR:. 2729.2)
ANY HAZARDOUS WASTE ON S.I'TE? .YES . " ❑ NU Signature of Receipt
Explain,.
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POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by ` " Signature (that all violations have been corrected as noted)
^
_ Witlh,'n 5 rink of no all of the violations, sign and return a copy_of this page to: