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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
e H R S F I 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 t ' INSPECTION DATE INSPECTION TIME
014 19 h -z- 1630
ADDRESS PHONE NO. NO OF EMPLOYEES
2cv 4v ,4\—sA LoNiA •2 D
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
VISIBLE ADDRESS
VtiM4tiNCF -5
Section 1: Business Plan and Inventory Program
If ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
m, VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
V!l, VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
L PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
119 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
13 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? El YES NO Signature ofReceipt
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by
Within 5 days ofcorrecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
fy
Signature (that all violations have been corrected as noted)
U///9 / Z
Date
White — Business Copy Yellow— Business Copy to be Sent in alter relum to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)