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UNIFIED PROGRAM INSPECTION CFIECKLI§/TJ!
SECTION 1: Business Plan and Inventory Program t
B r:a -s1?IL D
FIREj®ARTM T
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
y
INSPECTION DATE INSPECTION TIME
r'e 106 Prin4in-i
APPROPRIATE PERMIT ON HAND
ADDRESS P N O. NO OF EMPLOYEES
1 6`
FACILITY CONTACT n
CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
fL1f CORRECT OCCUPANCY CBC: 401)
Consent to Inspect Name /Title
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C
If
V C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
I/ BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
E3 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
fL1f CORRECT OCCUPANCY CBC: 401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
04
VERIFICATION OF QUANTITIES CCR: 2729.4)
III"' VERIFICATION OF LOCATION CCR: 2729.2)
IV PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
G VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(8))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
S 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? YES NO Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
Refer to the back of this inspection report Ior 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 of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
A,11 _6%1_fM -36 f /.311
White — nusiness Copy Yellow — Business Copy to be Sent in aver return to Compliance
Sj,gna ure' iat all violations have'6e n corrected as noted)
Date
Pink prevention Services Copy FD2155 (Rev 12/11)