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HomeMy WebLinkAboutBUSINESS PLAN 4/13/2011,4 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program A B _ A _D i/RE D ARTR it BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME c C= Compliance OPERATION V= Violation INSPECT 6N DAVE y% /� /�r INSPECTION TIME ADDRESS ry"� CJ'v S iii PHONE NO. 12 7- 3 NO OF EMPLOYEES FACILITY CONTACT Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) BUSINESS ID NUMBER Consent to Inspect Name /Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) LJ ❑ CORRECT OCCUPANCY Section 1: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS 0`10 APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 0,--0 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) E331/0 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) LJ ❑ CORRECT OCCUPANCY (CBC: 401) 0-__0 VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) E�'❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑'❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) El-' El VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ter'❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑-!❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) El ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0- ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑�'❑ HOUSEKEEPING, (CFC: 304.1) ❑-'❑ FIRE PROTECTION (CFC: 903 & 906) ❑'"" ❑ SITE DIAGRAM A: DEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES O Si n tdre.ofRecei t G. 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 Signature (that all 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 FD2155 (Rev 6//10) f UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program • B._. _.- E._._R.. -S.... F..._I lE I_...._ FIRE ARTM T 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 INSPPEE.C,tT�O'NN DATE INSPECTION TIME ADDRESS (BMC: 15.65.080) PHONE NO" OF EMPLOYEES FACILITY CONTACT �-- f D'0 ❑ BUSINESS ID NUMBER ..- 02t Consent to Inspect Name /Title ❑` ❑ CORRECT OCCUPANCY (CBC: 401) 0 ❑ Section 1: Business Plan and Inventory Program ROUTINE ❑' COMBINED ❑ 'JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS Cam❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑'" E] Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) D'0 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑` ❑ CORRECT OCCUPANCY (CBC: 401) 0 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) D"" ❑ VERIFICATION OF QUANTITIES _ (CCR: 2729.4) 0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0-'— El PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑Y~ ❑ 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) 11"" ❑ 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? OYES ❑ NO Si,►rature•ofRecei t �.✓' Explain(: ruJ r INSPLU I IVIN INS I RUC 1 GUNS: • Correct the violation(s) noted;iabove 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 White —Business Copy Yellow.— .Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10) �i