HomeMy WebLinkAboutBUSINESS PLAN (NO DATE)A
UNIFIED PROGRAM INSPECTION C C LIST,, $.. �� E. R 5 :_I L..._p
FIRE
ARTM T
S E TI N 1: Business Plan and Inventory Pr gram r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 =2171
3F �I
FACILITY NAME ff �: p/
V
INSPECTION DATE
INSPECTION TIME
I ROUTINE ❑ COMBINED ❑ JOINT AGENCY El
MULTI- AGENCY-,,--' ❑ COMPLAINT ❑ RE- INSPECTION
❑
APPROPRIATE PERMIT ON HAND
(BM
:15.65.080)
ADDRESS fir' p /' -
-`
PHONE NO.
NO OF EMPLOYEES
g
rt *
❑
FACILITY CONTACT
C: 15.52.020)
BUSINESS 1D NUMBER
Consent to Inspect Name /Title
V
'� ' *..� Bty {`�IIY':. ..i•,
11
' ASS ecf�on I.IS SS
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MF :�d ^'I, ?Y �:�W® .�R ?C,�.
M F
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I ROUTINE ❑ COMBINED ❑ JOINT AGENCY El
MULTI- AGENCY-,,--' ❑ COMPLAINT ❑ RE- INSPECTION
i _e�
c
V
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
APPROPRIATE PERMIT ON HAND
(BM
:15.65.080)
❑
Business PLAN CONTACT INFORMATION ACCU ATE
7
(
CR: 2729.1)
❑
VISIBLE ADDRESS z (CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY X f�
+MATERIALS
(CBC: 401)
El
VERIFICATION OF INVENTOR
{
(CCR:
2729.3)
❑
❑
VERIFICATION OF r) , ANTITIES
CCR: 2729.4)
El
❑
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 (
CR: 2731(c))
❑`
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0
El
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(C
C: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
ANY
HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Signature of Receipt
Explain:
POST INSPECTION 1NS'1'KUU'1'10NS:
• 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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
Wbite —Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)