HomeMy WebLinkAboutBUSINESS PLAN 2/16/2015FACILITY NAME
INSPECTION DATE
INSPECTION TIME
} ,'.< a % i :4 y.C'..il. 4'; '-
PHONE NO.
NO OF EMPLOYEES
ADDRESS
f
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title ,
5.. MR .
,;=e:. '. is �'.' .. 'a.•: ':.h T:
's. :' d.c�i. �3. d• , ...:.; r . _k ... .
v
:. �y
/+ Y 6 x
M..
a,.,... \, , .vz... ":.; .0 , :. ,.:'. -,. ,.. .. ., ?►J �� �.Ir.. \A VI iqA "A
t''. � ° J p^ *� .1
� RJ
s.FU rX : i fl� Y.T .:r ,:'„., . ..s � .. ;f.,•..,
®' ROUTINE ❑ COMBINED. ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
G V e C= Comp liance ) O P E RATION
COMMENTS
V= Violation
[9~ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑-- ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
R` ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
21- ❑ CORRECT OCCUPANCY (CBC: 401)
❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
13" ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
M ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
K. ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
13- ❑ - VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b))
D' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑" ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731 (c))
23 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
R-. ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703:5)
_
F;1`. ❑� HOUSEKEEPING (CFC: 304.1)
Q ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE '& ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES i NO
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention services Copy
FD2155 (Rev 6H10)