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BUISNESS PLAN 2011
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B A� E R S_F 1 (d L D FIRE €PARTM T v� 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 ` (e + Tt ❑l ❑ APPROPRIATE PERMIT ON HAND ADDRESS PHONE NO. NO OF EMPLOYEES (� / (CCR: 2729.1) FACILITY CONTACT BUSINESS ID NUMBER ED" ❑ CORRECT OCCUPANCY (CBC: 401) Consent to Inspect Name /Title 0' ❑ VERIFICATION OF INVENTORY MATERIALS 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 ❑l ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 0" ❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ©" ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ED" ❑ CORRECT OCCUPANCY (CBC: 401) 0' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑` ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 13 11 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ET' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 13 ❑ VERIFICATION OF,MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 13' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) El 1.11 ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ©"' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0'F ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3' ❑ HOUSEKEEPING (CFC: 304.1) El ❑ 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 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 6H 10)