HomeMy WebLinkAboutBUSINESS PLAN 4/22/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
J n �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
J
V= Violation
ADDRESS �d ^ ,AN� A LA"J&
Pte_ l�N z�
. OF - O ,
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
['GQ_51 1U IU1 Z "S0 AZ) US
Section 1: Business Plan and Inventory Program
❑ ROUTINE COMBINED . ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
COMMENTS
V= Violation
c_ " --T
I�❑
APPROPRIATE PERMIT ON HAND
(BMC:.15.65.080)
❑ Qr.,
BUSIPIeSS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
w6� ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Da ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
hn ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
IS"' Q" ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
P ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
[D ❑
VERIFICATION OF HAZ MAT, TRAINING
-- :_
_ (CCR: 2732) .
-
lT:=1 ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
o ❑
HOUSEKEEPING
(CFC: 304.1)
GI4�r
LA,
014) 11
FIRE PROTECTION
(CFC: 903 & 906)
`a��v�
)DrA 'S
/ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS .WASTE ON SITE? 8WES ❑
NO
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS: �� ` .r- f—'•�—
• Correct the violatiori(s) noted above by Signatur (tha all violations have be n— ted as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: 1
kerstiel Fire Dept. reventlo Servi �; 01 H �ttreet, CNliflornia 93301 l
Date ) t
Lo 1
White — Business Cop \ Yellow — Business opy to be Sent in aller return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B :AN R S P I iH L D
_ ..-- -_._..._._.. -. __..
F /RE
d 1M , f
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME R
INSPECTION DATE
INSPECTION TIME
ADDRESS
Z rjC�R��im A LAN&
PHONE. NO.
Q'}6 Z 6
NOOF.EMPLOYEES
/'
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
U ) 01 Z `� b U S
Section 1: Business Plan and Inventory Program
❑ ROUTINE `� COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
COMMENTS
V= Violation
O�❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ 06 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
�J
❑7 ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
EO ❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Q-0 ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
[10 ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
In El
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
ED ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES&
PROCEDURES (CCR: 2731(c))
�❑`'
fJ t ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0� 1:1
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
tX0 7 A. g
yA Lac e
❑Q❑
FIRE PROTECTION
(CFC: 903 & 906)
fEj� ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS
WASTE ON SITE? GzYES ❑ NO
Signature of Receipt
Explain:
/
{
`
j• ✓_'..
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
L v
Signature(that'all violations have been corrected as noted)
Date
While —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)
w
i