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BUSINESS PLAN 5/18/2012
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program it E R S F I E, D F /RE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 8S2 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Cc .t )s c >. G L 1eY 10 ADDRESS 1 f L` L ONEz / AK/ 3z NO OF E PLOYEES FACILITY CONTACT BUSINESS ID NUMBER 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) Of Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) m/ CORRECT OCCUPANCY CBC: 401) C VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) E / PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) E?_/ VERIFICATION OF HAZ MAT TRAINING CCR: 2732) Z]-- VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) E),-' El EMERGENCY PROCEDURES ADEQUATE CCR: 2731) CONTAINERS PROPERLY LABELED CCR: 66262.340, CFC: 2703.5) 4/11 HOUSEKEEPING CFC: 304.1) 0'' FIRE PROTECTION CFC: 903 & 906) Q],"" SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) IL ANY HAZARDOUS WASTE ON SITE? YES © N0 Signature of Receipt / i 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 alter return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6810)