HomeMy WebLinkAboutBUSINESS PLAN 4/3/2015FACILITY NAME
V
C =Compliance) OPERATION
INSPECTION DATE
INSPECTION TIME
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V= Violation
ADDRESS ", F
❑
APPROPRIATE PERMIT ON HAND
PHONE NO .
NO OF EMPLOYEES
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3
❑
BUSIIIesS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
FACILITY CONTACT
A
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Blf SID NUMBER
SINES _
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
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Consent to Inspect Name /Title
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❑
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❑ SPECTION
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V
C =Compliance) OPERATION
C O M M E N.TS
V= Violation
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❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Q
3
❑
BUSIIIesS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
L �
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
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(CCR: 2729.3)
O
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
a
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❑
VERIFICATION OF LOCATION,
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Ci'
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2739 (c))
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❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
- CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) .
HOUSEKEEPING
(CFC: 304.1)
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❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑'
SITE DIAGRAM ADEQUATE &jON HAND
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(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE ?; ❑ YES ❑
NO
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONSF,�{
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
ions sign and return a copy of this page to: ® Within 5 days of correcting all of the viola
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)
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