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BUSINESS PLAN 4/20/2011
BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST E R FIRE S F t D 2101 H Street o ARTM ' Bakersfield, CA -93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Golde,ry Cc?ns�r�o� INSPECTION DATE Z0% INSPECTION TIME ADDRESS 12 8c rC�W 39 J. NO. NO OF EMPLOYEES FACILITY CONTACT, BUSINESS ID NUMBER Gk4 ��n �i v� Q ❑ Consent to Inspect Name /Title � _ Section 1 Business Plan and Inventory Program ` ,yy,, ❑ 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) n ❑ 0 Business PLAN CONTACT INFORMATION ACCURATE 1. (CCR:'2729.1) Cec N C. '40 G- I�� '-j 9G� 1:1 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) t 17 ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 81 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) bV ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ N= CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) �` G• ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) Signature q ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Explain: POST INSPECTION INSTRUCTIONS: s/ 1 • Correct the violation(s) noted above by ) /20 /j • 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 natard4t at all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F 1 P _D FiaE c , a a rMirryr BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME (' � C= Compliance} OPERATION V= Violation INSPECTIONpDATE INSPECTION TIME /f � `v ©r,,i'°°'APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) �� ��- ❑ ❑J ADDRESS 1130s, (CCR: 2729.1) PHONE NO. .3 i `45 NO OF EMPLOYEES FACILITY CONTACTI (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER 0=) ❑ CORRECT OCCUPANCY (CBC:401) Consent to Inspect Name /Title -61 ❑ VERIFICATION OF INVENTORY MATERIALS Section' 1: Business Plan, and Inventory Program , ❑ ROUTINE O�'COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance} OPERATION V= Violation COMMENTS /f � `v ©r,,i'°°'APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) �� ��- ❑ ❑J Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 6?_c rtr6 P_� NCG� ni "o Ud—S ❑P ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 0=) ❑ CORRECT OCCUPANCY (CBC:401) -61 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) � ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 00 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) '❑P ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) r ❑V ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©° ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑O ❑ VERIFICATION`OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ Cltc- CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) pe 1:1, ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) t b�3 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? IOaYES ❑ NO Si natureof_i2ecei't v r + / �/ 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 Signature (thahall violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy F132155 (Rev 6//10) r'