HomeMy WebLinkAboutBUSINESS PLAN 12/2/2010FACILITY NAME
c C= Compliance OPERATION
V= Violation
INSPECTION DATE
iz/ -z./Iv
INSPECTION TIME
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
El
Business PLAN CONTACT INFORMATION ACCURATE
ADDRESS (
,c0-
LiJ.+ ❑
PHONE NO,Z�
NO OF EMPLOYEES
FACILITY CONTACT
0�❑
BUSINESS ID NUMBER
❑�� ❑
'
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Consent to Inspect Name /Title
'0:4 ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
`0 ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Section 1: Business Plan-and Inventory Program
❑ ROUTINE [D� COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
c C= Compliance OPERATION
V= Violation
COMMENTS
❑� ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
El
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
,c0-
LiJ.+ ❑
VISIBLE ADDRESS (CFC: 505.1,
BMC: 15.52.020)
0�❑
CORRECT OCCUPANCY
(CBC: 401)
❑�� ❑
'
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
s
'0:4 ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
`0 ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
.rb:D ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
00 ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
'ff? ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
00 ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
[`[o ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ EP
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
. ^! ❑
HOUSEKEEPING
(CFC: 304.1)
❑ 09
FIRE PROTECTION
(CFC: 903 & 906)
❑, ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
3�-�' C' �'" wrpec K� ""3
ANY HAZARDOUS WASTE ON SITE? DYES ❑
NO
SilnaiureofReceipf
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POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by i Z i
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
While — Business Copy Yellow— Business Copy to be Sent in after return to Compliance
'b
Signature (that all violations have been corrected as noted)
va rc
Pink — Prevention Services Copy
FD2155 (Rev 6810)
a
DEC -18 -2010 SAT 06:39 AM
ru W BUSINESS Po" - (681)325�5B /B -16053
P. 002/002
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' 2101 H street
vure
ARTM r Bakersfield, CA 93301
SECTION 1- Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852.2171
FACILITY NAME '--��
INS�PEC3 ION DATE
INSPECTION TIME
ADDRESS C1 6 Z-8 1�
u�
PHONE N � (,,c
5w -
NO OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
G►7 � L
Business FLAN CONTACT INFORMATION ACCURATE (CCR: 2729,1)
Consent to Inspect Nama/ritle �A .
Section 1: Business Plan and Inventory Program
❑ ROUTINE 95 COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
77P "°) OPERATION
VaViolafion
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(5MC: 15.65.090)
Ra ❑
Business FLAN CONTACT INFORMATION ACCURATE (CCR: 2729,1)
kP ❑
VISIBLE ADDRESS
(CFO: 505.1, BMC: 15- 52.020)
-*,C> ❑
CORRECT OCCUPANCY
(CM 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
I
❑
VERIFICATION OF QUANTITIES
(CCR; 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATON OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
$� ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
CO
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Q
CONTAINERS PROPERLY LAQELED
(CCR: 66262.34(1), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
2 ❑
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
(CFC: 903 & 906)
(CCR: 2729.2)
Na do
C. el �^t�� .v S Q��c�. W
r- rvp�+o�tiW 7 o�rnt
ANY HAZARDOUS WASTE ON SITE? _,U2 YES ❑ NO
Explain; �r� �yQ^
YU$'1' lIVZWWe I AUN tNS I Icuu I lUrrb:
• Corrcct the vivlation(s) noted above by 1 ems/ j
• Within 5 days of cor*omiog all of the violations, sign and return a copy of this page to:
Bakersfield Firo Dept, Prevention Services. 2101 H Street, California 93301
White - Busing" Copy Yellow- Bvz gwm Copy N be Sent in after rerun to Compliance
a.0 fFf't✓'w DNl4 t-A
Signatum (that ally iolations have been corrected as noted)
Pate
Pink - PrevcMion &MCCS COPY f 02 33 (Rev 6/10)