HomeMy WebLinkAboutBUSINESS PLAN & INVENTORY 8-22-2012KERN BUSINESS FORMS - (661) 325 -5818 - #6013
BAKERSFIELD FIRE DEPT.
Prevention, Services .
ER_ I UNIFIED PROGRAM INSPECTION CHECKLIST
FIRE
2101. H Street
aRTM T Bakersfield, CA9 330 1
SECTION 1: Business Plan and Inventory Program yu Tel.: (661) 326 - 39.79
Fax: (661:) 852-2171
FACILITY NAME
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INSPECTION DATE '
INSPECTION TIME
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ADDRESS
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PHONE NO.
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'NO OF EMPLOYEES
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FACILITY CONTACT
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BUSINESS ID NUMBER
COMMENT S
/57 0.2.,E - 0 9010 2-
Consent to Inspect. Name /Title
19/ ❑ FIRE PROTECTION (CFC: 903 & 906)
f ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE O.N SITE? ❑ YES ❑ NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
® Within 5 days of correcting all of the violations, sign and return a copy of this page to:
❑
ROUTINE `COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance) OPERATION
COMMENT S
V= Violation
❑ ` APPROPRIATE PERMIT ON .HAND
(BMC: 15.65.080)
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I ❑
Business PLAN CONTACT INFORMATION ACCURATE + (CCR: 2729.1)
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
«C ❑
CORRECT OCCUPANCY
(CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
t ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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s
Lea ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
IN-
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VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
`❑ [2
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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t❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
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EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ L
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
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,/ J.,� e'1
[I : ❑
HOUSEKEEPING
(CFC: 304.1)
19/ ❑ FIRE PROTECTION (CFC: 903 & 906)
f ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE O.N SITE? ❑ YES ❑ NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
® Within 5 days of correcting all of the violations, sign and return a copy of this page to: