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UNIFIED PROGRAM INSPECTION CHECKLIST'I
SECTION 1: Business Plan and Inventory Program I,,
It- K_E R S F I 0\_ D
F /RE
A RrMM IF
BAKERSFIELD FIRE DEPT.
Prevention"Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
Q C= Compliance OPERATION
V= Violation
INSP TION D TE INSPECTION TIME
BMC: 1.65.080)
ADDRESS
BUSINESS PLAN CONTACT INFORMATION ACCURATE
HON N O OF EMPLOYEES
VISIBLE ADDRESS
q
13 CORRECT OCCUPANCY CBC:401)
FACILITY CONTACT
VERIFICATION OF INVENTORY MATERIALS
BU ESS ID NUMBER
VERIFICATION OF QUANTITIES
a
Consent to Inspect Name /Title
VERIFICATION OF LOCATION CCR: 2729.2)
Section 1: Business Plan and Inventory Program
ET ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V Q 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)
13 CORRECT OCCUPANCY CBC:401)
3 VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
ET, VERIFICATION OF LOCATION CCR: 2729.2)
El PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
0 0 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731))
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? ES NO
L
Sin tureof Receipt
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 of correcting all ofthe violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
ignature(t (that all violations have been corrected as noted)
Date
White —Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)