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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION I : Business Plan and Inventory Program
B i P. _RS P I F L D
FIRE
ARTM T'
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
jo h S
INSPECTION DATEf INSPECTION TIME
15ePtk13-
ADDRESS
lei 5
PHONE NO. NO OF E LOYEES
FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMB R
Jjn 131g
Consent to Inspec 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
COMMENT S
E] 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)
r VERIFICATION OF QUANTITIES CCR: 2729.4)
112' VERIFICATION OF LOCATION -- _ CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CFC: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b))
ID" VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
ID VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
0 EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
E1, CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
i
HOUSEKEEPING CFC: 304.1)
0 FIRE PROTECTION CFC: 903 & 906)
I" SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? []"YES NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
o 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 — BusinessCopy to be Sent in alter return to Compliance
ign ture (t at all violations have been corrected as noted)
07 1
Date
Pink — Prevention Services Copy PD2155 (Rev 6H] 0)