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UNIFIED PROGRAM INSPECTION CHECKLIST! jDfPA : R s t 1; . p
FIRE
RTM T
SECTION i : Business Plan and Inventory Program
A
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME 3
G ,
INSPECTION DATE
U- VI - k-L
INSPECTION TIME
04):0a,
COMMENTS
1'
ADDRESS PHONE NO. NO OF EYPLOYEES
J21
FACILITY CONTACT BUSINESS ID NUMBER
0
Consent to Inspect Name /Title {
n ' C'"L.v ^ "a C 1V- Iv,-1 -e w ^ i ^• - r Its
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION,
V= Violation
COMMENTS
1' APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
J21 BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
0 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
fG1 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
El VERIFICATION OF LOCATION CCR: 2729.2)
E] PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
0' EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
A CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
d < HOUSEKEEPING CFC: 304.1)
p' FIRE PROTECTION CFC: 903 & 906)
e SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Rcfer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days orcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 1 -1 Street, California 93301
Signature (that all violations have been corrected as noted)
Jo-
Date
While — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)