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HomeMy WebLinkAboutBUSINESS PLA 5/10/2011UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B G R S F 1 -1, D FINE ANrN T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME W�Cfe�v��i1 ` INSPECTION DATE INSPECTION TIME ADDRESS � PHONE NO. 32,7 -1{05 7 NO OF EMPLOYEES FACILITY CONTACT � BUSINEESyS,I�D7 NUMBER / Consent to Inspect Name/Title ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) W Section 1: Business Plan and Inventory Program t ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS Y"'[] APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) VE] CORRECT OCCUPANCY (CBC:401) ' 19/0 VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ,El 2" ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) MO ❑ VERIFICATION OF MSDS AVAILABILITY. (CCR: 2729.2(3)(b)) IV 1:1 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) �❑ /❑ ltd' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(1], 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? 01YES ❑ NO Sienature-ofReceipt C� (f 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 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Sig ature (that all violations have een corrected as noted) Aix- Date Pink — Prevention Services Copy FD2155 (Rev 6//10) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program ZA B E. sFi(e�T FIRE Or. ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME A ( C= Compliance OPERATION V= Violation ` INSPECTIOP DATE INSPECTION TIME ADDRESS (BMC: 15.65.080) PHOZN7NO. _O 3 NO OF E LOYEES FACILITY CONTACT ✓C7 � � ti LaR�. .4►�X(' W, f 4 t 'i' ! BUSINESS ID NUMBER , Co Z L<i�Lk Z Consent to Inspect Name /Title V❑ CORRECT OCCUPANCY (CBC: 401) W Section 1: Business Plan and Inventory Program ROUTINE ' ❑ COMBINED - ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ ' RE- INSPECTION C V ( C= Compliance OPERATION V= Violation COMMENTS no"'D APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) —/ lM' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) V❑ CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) (V ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 09"0' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) a Ele""❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) a/❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) �0� M/ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ® ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ©o**' ❑ HOUSEKEEPING (CFC: 304.1) E5'.." ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑OYES ❑ NO Signature•ofReeei Explain: { , POST INSPLC'1'ION 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)