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HomeMy WebLinkAboutBUSINESS PLAN 4/21/2011UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 01111111br, B_ A K E R S F I E. D FIRE ff D , ARTMEf 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 ADDRESS Ll wfliU� rlP PHONE NO. 12 6J NO OF EMPLOYEES 70 ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION FACILITY CONTACT BUSINESS ID NUMBER C v Consent to Inspect Name /Title POST INSPECTION INS'1'RUC "1'I0NS: • 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) L/_Ziy-1I Date White — Business Copy 1! Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10) 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 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 0' ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Or ❑ CORRECT OCCUPANCY (CBC:401) 2 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0/ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 11 d ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑" ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 0/ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) I2/ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Cx ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34([), CFC: 2703.5) R ❑ HOUSEKEEPING (CFC: 304.1) © ❑ FIRE PROTECTION (CFC: 903 & 906) 13 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofRecei t t Explain: POST INSPECTION INS'1'RUC "1'I0NS: • 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) L/_Ziy-1I Date White — Business Copy 1! Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H10)