HomeMy WebLinkAboutBUSINESS PLAN 5-16-2013i
BAKERSFIELD 'FIRE DEPT.
A Prevention Services
B__ h R S r__I L D
FI `D PROGRAM INSPECTION CHECKLIST! 4 FIRE 2101 H Street
ANTM t B k f 1d CA 93301
r a t: 1. ie ,
SECTION 1: Business Plan and Inventory Pro ram = ' qk Tel.: (661) 32.6- 3979 --
Fax: (661) 852 -2171
FACILITY
NAME a I Sz r
��� I�la/E'.i'1.'�Olr. I�rO `:L �I�
INSP C.TION DATE
INSPECTION TIME
e v .
ROUTINE COMBINED ❑ JOINT AGENCY ❑
[�+
MPLA I NT ❑ RE- INSPECTION'
MULTI - AGENCY ❑ COMP
( APPROPRIATE PERMIT -ON HAND (BMC
ADDRESS
�?�'
PHONE NO.
NO Of EMPLOYEES
❑ VISIBLE ADDRESS (CFC: 505.1, BM C:
15.52.020)
FACILITY
CONTACT 1 ',
(CBC: 401)
BUSINESS ID NUMBER
E10
I
❑ VERIFICATION OF INVENTORY MATERIALS (
CR: 2729.3)
Consent
to Inspect Name /Title
I
W, ❑ VERIFICATION OF LOCATION (
CR: 2729.2)
T;.
�yq Ctl �.Ar P*■� ■Aw
SeCtlr.c3:ri � B�uS:r ileS'.�a
��� I�la/E'.i'1.'�Olr. I�rO `:L �I�
k,Y
:rY. h ':}. # ■ f.M
H. +
+ + �❑ �
e v .
ROUTINE COMBINED ❑ JOINT AGENCY ❑
[�+
MPLA I NT ❑ RE- INSPECTION'
MULTI - AGENCY ❑ COMP
C
C= Compliance
V ( ) OPERATION
COMMENTS
V= Violation
❑
( APPROPRIATE PERMIT -ON HAND (BMC
15.65.080)
❑ BUSIIIG'SS PLAN CONTACT INFORMATION ACCURATE (C
R' 2729.1)
❑ VISIBLE ADDRESS (CFC: 505.1, BM C:
15.52.020)
i
'I
I� ❑ CORRECT OCCUPANCY
(CBC: 401)
E10
I
❑ VERIFICATION OF INVENTORY MATERIALS (
CR: 2729.3)
El VERIFICATION OF QUANTITIES (C
CR: 2729.4)
I
W, ❑ VERIFICATION OF LOCATION (
CR: 2729.2)
s; ❑ PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
(�
❑ VERIFICATION OF MSDS AVAILABILITY (CCR:
729.2(3)(b))
FV
P
❑ VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
C
E
r�
❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731 (c))
EY
, ❑ EMERGENCY PROCEDURES ADEQUATE
CCR: 2731)
El CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
FC: 2703.5)
El HOUSEKEEPING
CFC: 304.1)
❑ FIRE PROTECTION (CF(,
:903 & 906)
r
...' ❑ SITE DIAGRAM ADEQUATE & ON HAND ( ('
CR: 2729.2)
�
ANY
HAZARDOUS WASTE ON SITE? ❑_l(ES ❑ NO
SignatwreofReceipt
Explain:
POST INSPECTION 1NS'1'1KUU'1'1UNa: 1
• Correct the violation(s) noted above by
• lWithin 5 days of correcting all of the violations, sign and return a copy of this age 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
Signatu at .all violations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev.6 / /10)