HomeMy WebLinkAboutBUSINESS PLAN 6/9/2014KERN:BUSINESS FORMS - (661) 325 - 5818 - #6013
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❑- ROUTINE COMBINED ❑ JOINT AGENCY ❑ "MULTI- AGENCY ❑ COMPLAINT
AKERSFIELD: FIRE DEPT.
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ti Services.
UNIFIED PROGRAM INSPECTION CHECKLIST
... E...R S.F,I CD
101 H Street
C =Compliance:
C V ( ) OPERATION
V= Violation
FIRE
ARTM T :
akersfield; GA 93301'
" S E C 1' I O N .1 :. BUS111 @SS Plan and inventory PrO�fa�Yl , "
el.'::> (6.61) 326 =3979
�. ❑ Bus eSS PLAN CONTACT INFORMATION ACCURATE ':(CCR: 2729.1)
Fax: ` (661) 852 -2171
FACILITY NAME -
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INSPECTIO
DATE
INSPECTION TIME
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VERIFI'CATION.OF INVENTORY MATERIALS _(CCR: 2729.3)
ADDRESS
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1
PHONE NO
❑ VERIFICATION OF QUANTITIES. (CCR: 2729.4).
NO OF EMPLOYEES
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
FACILITY CONTACT
BUSINESS
D- NUMBE
...
�( ❑ VERIFICATION OF MSDS AVAILABILITY. ` (CCR: 2729.2(3)(b))
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-
Consent to Inspect Name /Title
❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
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❑- ROUTINE COMBINED ❑ JOINT AGENCY ❑ "MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C =Compliance:
C V ( ) OPERATION
V= Violation
COMMENTS.
„p APPROPRIATE PERMIT ON.HAND , (BMC: 1.5.65.080)
�. ❑ Bus eSS PLAN CONTACT INFORMATION ACCURATE ':(CCR: 2729.1)
i
❑ VISIBLE-At)DRESS (CFC`. 505.1, BMC: 15.52.020)
❑ CORRECT OCCUPANCY (CBC: 401)
VERIFI'CATION.OF INVENTORY MATERIALS _(CCR: 2729.3)
{
1
❑ VERIFICATION OF QUANTITIES. (CCR: 2729.4).
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
�( ❑ VERIFICATION OF MSDS AVAILABILITY. ` (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
.�❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
A
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
I
ANY HAZARDOUS WASTE ON SITE? ,AYES" ❑ NO
Si nature oweceipt
ov
!
Explain:
POST INSPECTION INSTRUCTIONS:
the violations noted above b X"- Signature (that al'
Correct O Y
• Within 5 days of correcting all of the violations, -sign and return a copy of this page to:.
violations have been corrected as noted),