The URL can be used to link to this page

Home My WebLink AboutBUSINESS PLAN 6/27/2011UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program Prevention Services B E R S F 1 0 900 Truxtun Ave., Suite 210 FIRE Bakersfield, CA 93301 ARTM T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITyfIAME fa �Y� p {, r� /_` L+� fr L2� IN�ECND =T�o`' L INSPECTION 3 L7 ADDRESS PHONE NO. O OF EMPLOYEES 1 ❑ FACILITY CONTACT 3USINESS ID NUMBER !!/I 15 -021- L.4J VWaN ej, 5t Section 1: Business Plan amd Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ BUSIt1eSS PLAN CONTACT INFORMATION ACCURATE 5t ❑ VISIBLE ADDRESS IS ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED '% ❑ HOUSEKEEPING ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND bla1.1F1 ANY HAZARDOUS WASTE ON SITE? ❑ YES Nb NO to V . _ 1 . r QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 M8'WIL l s rI s a Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09105 Prevention Services UNIFIED PROGRAM INSPECTION CHECKLISTr, 8 -..R ._S_ F _I ,E ,..._.D 900 Truxtun Ave., Suite 210 —� -- - -�— FIRE Bakersfield, CA 93301 SECTION 1: :Business'Plan and Inventory Program 91 "RTH , T Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY—NAME INSPECTION DATE INSPECTION TIME COMMENTS ❑ ❑ ADDRESS PHONE NO. NO OF EMPLOYEES I QLe A r Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT BUSINESS ID NUMBER 15 -021- 33G q Section 1: Business Plan and Inventory_ Program EX ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE Q ❑ VISIBLE ADDRESS E?k ❑ CORRECT OCCUPANCY ❑ ❑ VERIFICATION OF INVENTORY MATERIALS ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION, ❑ ❑ PROPER SEGREGATION OF MATERIAL ❑ ❑ VERIFICATION OF MSDS AVAILABILITY ❑ ❑ VERIFICATION OF HAZ MAT TRAINING ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ ❑ EMERGENCY PROCEDURES ADEQUATE ❑ ❑ CONTAINERS PROPERLY LABELED IS- ❑ HOUSEKEEPING ❑ ❑ FIRE PROTECTION ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON .SITE? E] YES L9'- NO EXPLAIN: I Anl MAfN'i N SI4P- Lb 9eSnyu1'1Ue_ (a )r )1AJ ? ( nt QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Business Site / Responsible Party (Please Print) White - Prevention Services Yellow - Station Copy Pink - Business Copy FD 2155 (Rev. 09/05 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory. Program 1r I L D T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INGPECTION DATE INSPECTION TIME C Aher ^X -2o If 1:t) -1d ADDRESS PHONE NO. NO OF EMPLOYEES Vrs Q-0 ❑ O. FACILITY CONTACT BUSINESS ID NUMBER TK c4j V%N-P.�ej 33 (CFC: 505.1, BMC: 15.52.020) Consent to Inspect Name /Title ❑ ❑ Section 1,: Business Plan and Inventory Program tF ROUTINE ❑ COMBINED Cl JOINT AGENCY . ❑ MULTI - AGENCY s ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) TK ❑ 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) ❑ ❑ 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 (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ 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 HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of'Receipt Explain: 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: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Sig t (that all violations have been corrected as noted) G -A-? —toil Date Pink — Prevention Services Copy 17132155 (Rev 6//10) UNIFIED PROGRAM INSPECTION �CHECKLIST I , SECTION 1: Business Plan and Inventory Program aARrm , BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C N h v- S Vr j C b G. 1 e-4-4c oil � (� ADDRESS PHONE NO. NO OF EMPLOYEES \](5 6t 0-0 ❑ O FACILITY CONTACT BUSINESS ID NUMBER ❑: N 3 3 (CFC: 505.1, BMC: 15.52.020) Consent to Inspect Name /Title ❑ ❑ Section 1: Business Plan and Inventory Program EV ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ 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) D ❑ 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 (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) D ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofReceipt Explain: 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: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance UJIIJ Signr tI g (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10)