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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
00 BAKERSFIELD FIRE DEPT.
Prevention Services
a._ E R S F I E_ . D
FIRE 2101 H StreetJD'ARTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
v
INSPECTION DATE INSPECTION TIME
Suu-na la L U6 /Ot 12. I1100
ADDRESS PHONE NO. L61 - NO OF EMPLOYEES
277 0 —7 3 14 T- 5,-e _f_S
CCR: 2729.1)
v-K - 35 IV 5
FACILITY CONTACT
VISIBLE ADDRESS
BUSINESS ID NUMBER 7-3 y S°t
1 AC_ HA N 2_ AIV4 tb •. lotZ0c;a-1.1
Consent to Inspect Name /Title hff ice V
CCR: 2729.3)
Section 1: Business Plan and Inventory Program
lI ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v c C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
151' BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
C7 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
G CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
E1, VERIFICATION OF LOCATION CCR: 2729.2)
Ct PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
Cpl VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
ER VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Cpl VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
C EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
EL CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
q HOUSEKEEPING CFC: 304.1)
CS: FIRE PROTECTION CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES 9 NO Signature of Receipt
Explain: 1 i fil
POST INSPECTION INSTRUCTIONS:
Refer to the back ofthis inspection report for regulatory citations and corrective actions
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
SignalurE (th t ol tlaonshaveeencorrectedasnoted)
6)o / / /1-7
Date
9% UL 5"v n.J
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy" FD2155 (Rev 12/1 1)