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HomeMy WebLinkAboutBUSINESS PLAN (NO DATE) (2)FACILITY NAME INSPECTION DATE INSPECTION TIME R 3✓ ADDRESS wwi+"� � +� £+�... £..� '? ,• r.4 ! Y�,p F � � g yjd i psr ni'$ PHONE NO. nay JSf NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title c z * 2 ,., ,,: ss ....� v .. a, >.. :, >., —.-r �xa , ✓, . 41 v, ;, .. �ws, ., ..1 ,.!4. .,. .,...,.XY .a � .- �::,a4:� MULTI - AGENCY ❑ COMPLAINT ❑` RE- INSPECTION ;: ❑ "ROUTINE ❑ COMBINED ❑ JOINTAGENCY C. V ( Compliances OPERATION COMMENTS V= Violation ❑ ` APPROPRIATE PERMIT ON HAND (B C: 15.65:080) ❑ Business PLAN CONTACT INFORMATION ACCURATE i CCR: 2729.1) . 0 ❑ VISIBLE ADDRESS (CFC: 505.1, B C: 15.52.020) CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF INVENTORY MATERIALS ; CCR: 2729.3) [` ❑" VERIFICATION OF QUANTITIES (CCR: 2729.4) EY ❑ VERIFICATION OF LOCATION CCR: 2729.2) El PROPER SEGREGATION OF MATERIAL CFC: 2704.1) - Er VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 0 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) L:1 8 ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34( , CFC: 2703.5)' ❑ ' ❑ HOUSEKEEPING (CFC: 304.1) E ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE'ON SITE? ❑YES ❑ NO Signature of Receipt Explain: POST INSPECTION INSTRUCTIONS:° • 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 9330 Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy PD2155 (Rev 6H10)