HomeMy WebLinkAboutBUSINESS PLAN 6/8/2011UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B I G R S F I 1. D
01FIRE
PARTM
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
14/
6 P—/0.215
❑
ADDRESS
2"J
PHONE NO.
66/-3Z�, 6os6
NO OF EMPLOYEES
FACILITY CONTACT '
BUSINESS ID NUMBER
G.�t/1 /O
IS—OZi-002�L�
Consent to Inspect Name /Title
Sect! "on�1 �Bus'Iness Plan,and Inventory Program
,
ROUTINE ❑l 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)
❑
❑
BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
20' ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
93 ❑
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)
❑
❑
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)
❑
❑
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? ❑ 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 6//10)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
B AAEE R S P I D
FIRE
D ARrm
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
COMMENTS
❑
ADDRESS
S°
PHONE NO
3F_�- 605'6
NO OF EMPLOYEES
92-0 21
661-
E
FACILITY CONTACT /
k
BUSINESS ID NUMBER
/-,57- oZ I - vo 24ZV
-
VISIBLE ADDRESS
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
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)
0
E
Business PLAN CONTACT INFORMATION ACCURATE. (CCR: 2729.1)
2'0'[]
VISIBLE ADDRESS
,(CFC: 505.1, BMC: 15.52.020)
B'0 ❑
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)
❑
❑
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)
❑
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(0, 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? ❑ 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
White - Business Copy Yellow - Business Copy to be Sent in atier return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy
FD2155 (Rev 010)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
jg:�R S F I E 1. D
IRE
RrNEIVT
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
COMMENTS
ADDRESS
PHONE NO. /t� l
NO OF EMPLOYEES
❑
❑
FACILITY CONTACT
BUSINESS ID NUMBER
2-'❑
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
C 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)
❑
❑
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
2-'❑
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)
❑
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
r
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
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? ❑ YES ❑
NO
Sianatu re of Receipt
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 DepO,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 61/10)