HomeMy WebLinkAboutBUSINESS PLAN 6/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
H _ __E_ R.._S...__F_1 E L p
FIRE
ARTM r
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
Program
ROUTINE
❑'
ADDRESS
PHONE NO.
NO OF EMPLOYEES
I is ,m,9
Nape-
❑
FACILITY CONTACT
BUSINESS ID NUMBER
Uri yV14P eta.
Co 9 3_20
Consent to Inspect Name/Title
C
v
m e.
Section 1. , Business. Plan `and ,Inventory
Program
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)
❑
❑
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
1K. 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
Signat&oVhit all violations have been corrected as noted)
C9-
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory. Program
PHPE
VARTM T
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
('r
6 -X� -aoi(
10 o')
ADDRESS
PHONE NO.
NO OF EMPLOYEES
I'S
NoNc_.
❑
FACILITY CONTACT
BUSINESS ID NUMBER
u,,3 rmo pd-
L 9 32 D
Consent to Inspect Name /Title
Section' 1: Business Plan and Inventory Program
`K 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)
C
❑
VISIBLE ADDRESS.
(CFC: 505.1, BMC: 15.52.020)
0
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
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)
Q
❑
HOUSEKEEPING
304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES n�-NO
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by Signatu e (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 93301 l f� ' 01 " toil
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance . Pink — Prevention Services Copy FD2155 (Rev 6H 10)