HomeMy WebLinkAboutBUSINESS PLAN 3/11/2015FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
BUSiIIeSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
PHONE NO. NO OF EMPLOYEES
ADDRESS
❑
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
-
IN
BUSINESS ID NUMBER
FACILITY CONTACT
(CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS
Consent tctlspect Name/Title
c- 1 Z,
i
r
(CCR: 2729.4)
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w ROUTINE ❑ COMBINED ❑ MULTI- AGENCY
❑ JOINT AGENCY,
❑ COMPLAINT ❑: RE- INSPECTION
c
V
C-Compliance
( ) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
BUSiIIeSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
IN
❑
CORRECT OCCUPANCY-
(CBC: 401)
E]
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)
❑
VERIFICATION OF MSDS-AVAI LABILITY
(CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES..` _(CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729:2)
ANY HAZARDOUS WASTE ON SITE? `YES ❑
NO
Signature ofReceiyz
Explain:
r
YUS'1' lINNFi:CTION nS'1KUt:IMAN:
�€ f
• Correct the violation(s) noted above by J "� 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White —Business Copy_„ Yellow — Business Copy to be Sent in after return to Compliance Pink —Prevention Services'Copy' FD2155 (Rev 6H10)