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HomeMy WebLinkAboutBUSINESS PLAN 6/14/2016FACILITY'NAME INSPECTION DATE INSPECTION TIME ADDRESS - PHONE NO. NO OF EMPLOYEES +wM! W � W/� i f. d 1 ]� :..R •. 1 .f .Y ` Lrl BUSINESS ID NUMBER FACILITY CONTACT Consent to inspect Name /Title` .... N ': S ... .. ... . A,, { z, ..... is .. .. .... .. ..... ... .F r, ! 7 a.: >. ,. .5::: Y .Ik r '� -...fv �a 1 3 x-<- :?'af ., .: a:. .x .:, .r . •� r r< cu, t i :.:e'd., ., G,.,m ,..,., .,. .�... .� ..x. r ._., � •;t _ ,. <, .; . „ . ,.:, . . .v�:,.. ,r,.,: ,.,�..,.� � , ..�:b. ,.._,_ � x.,,� .�,,: ROUTINE ❑: COMBINED, ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ('C= Compliance) O P E RATION COMMENTS V= Violation D ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 0 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE .(CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ , CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF "INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) M , ❑ VERIFICATION OF LOCATION (CCR: 2729:2) 0 ❑ PROPER SEGREGATION OF MATERIAL -: (CFC: 2704.1) M. ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) L I ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) R ❑ " EMERGENCY ' "PROCEDURES ADEQUATE (CCR: 2731) Q ❑ 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 HAwZARDOUS. WASTE ON SITE? ,YES ❑ NO Signature of Receipt Explain 1 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: S 2101 H Street California 93301 Signature (that all viola ons ve been corrected as noted) i Bakersfield Fire Dept., Prevention ervices, Date White Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy j FD2155 (Rev 600) I