HomeMy WebLinkAboutBUSINESS PLAN (NO DATE) (2)FACILITY NAME -_
INSPECTION DATE
INSPECTION TIME
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ADDRESS _ _ _ jn.
PHONE NQ. r
NO OF EMPLOYEES
FACILITY-CONTACT "
BUSINESS ID NUMBER
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Consent to inspect Name /Title ,
14 41
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
❑. ROUTINE ❑ COMBINED ❑ JOINT AGENCY El
V C= Compliance O P ERAT 1016
COMMENTS
V`Violation
❑ ❑ APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
❑ Business PLAN CONTACT INFORMATION, ACCURATE. I
CCR: 2729.1)
E]'' ❑ VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
❑ CORRECT OCCUPANCY
(CBC: 401)
❑ VERIFICATION OF INVENTORY MATERIALS
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CCR: 2729.3)
❑ VERIFICATION OF .QUANTITIES
CCR: 2729.4)
F9 El VERIFICATION . OF LOCATION
CCR: 2729.2)
Q,,eeU PROPER SEGREGATION OF MATERIAL
CFC: 2704.1)
❑ VERIFICATION OF MSDS AVAILABILITY (CC.:
2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1`9.."." El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES
CCR: 27.31(c))
OX` EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f',
CFC: 2703.5)
❑ HOUSEKEEPING
(CFC: 304.1)
u ❑ FIRE PROTECTION (CFC:
903 & 906)
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❑ SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
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ANY HAZARDOUS ASTE ON SITE.?- }` ❑ YES ❑ NU `
Signature ofReceipt�Y.,�Jf
IfT
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 ofthis page to: -
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
Date
^' FD2355 Rev 6//10
White Business Copy Yellow — Business Copy.to be Sent in after return to Compliance Pink -Prevention Services Copy )