HomeMy WebLinkAboutBUSINESS PLAN 3/25/2015YUS'1'INSYi+C110N 1.NN'_'KUC'1IONS:
® Refer to the back of this inspection report for regulatory citations and corrective actions
• 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:
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 12/11)
13 IRE DEPT.
` Prevention Services
UI'FI�ED PROGRAM 1NSPEC.TIO CHECKLIST
D F 2101 ]K street
IRE
SECTION 1: Business Plan and Inventory Program
® aRrM Bakersfield, CA93301
Tel.: (661) 326 =3979
C- Compliance
C V ( ) OPERATION
V= Violation
Fax: (661) 852 -2171
❑ /APPROPRIATE PERMIT ON HAND (BMC: 1.65.080)
FACILITY NAME
INSPE TION DATE
INSPECTION TIME
❑ , VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
'el 10
D ❑ CORRECT OCCUPANCY (CBC: 401)
ADDRESS
PHONE NO. NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
-7;?-7 j
Ef ❑. VERIFICATION OF QUANTITIES (CCR: 2729.4)
BUSINESS ID NUMBER
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
FACILITY CONTACT
PROPER SEGREGATION OF MATERIAL (CCR: 2704.1)
y
B ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(6))
Consent to I,fspect Name/Titlee" -"
Q ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
10 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
4
YUS'1'INSYi+C110N 1.NN'_'KUC'1IONS:
® Refer to the back of this inspection report for regulatory citations and corrective actions
• 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:
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 12/11)
,,.
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ .COMPLAINT Q RE- INSPECTION
C- Compliance
C V ( ) OPERATION
V= Violation
COMMENTS
❑ /APPROPRIATE PERMIT ON HAND (BMC: 1.65.080)
BUSINESS PLAN CONTACT: INFORMATION ACCURATE (CCR: 2729.1)
❑ , VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
D ❑ CORRECT OCCUPANCY (CBC: 401)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
Ef ❑. VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CCR: 2704.1)
B ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(6))
Q ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
10 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(F), CFC 2703.5)
n ❑ HOUSEKEEPING (CFC: 304.1)
ED ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
`
ANY HAZARDOUS WASTE ON.SITE? ❑ YES ❑ NO
Si2ndiure of Receipt
l$f �` i'^' #�'�1{ t•E f 4. 'i.C••". � � �i: yy$ " f
P4
Explain: X
YUS'1'INSYi+C110N 1.NN'_'KUC'1IONS:
® Refer to the back of this inspection report for regulatory citations and corrective actions
• 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:
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 12/11)