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BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST 10f R s P , o
Prevention Services
FIRE 2101 H Street
ARrN t Bakersfeld, CA 93301
SECTION 1: .Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax:, (661) 852 -2171
FACILITY NA E
c C= Compliance OPERATION
V= Violation
INSPECTI -OpN DATE INSttPECTION TIME
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
ADDRESS ff _ PHONE NO. NO OF E PLOYEES
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
CORRECT OCCUPANCY
BUSINESS ID NUMBE
VERIFICATION OF INVENTORY MATERIALS
Consent to Inspect Name /Title
J U\r_
V
Section 1: Business Plan and Inventory Program
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)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
v
EMERGENCY PROCEDURES ADEQUATE • CCR: 2731)
CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
K—El SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO S' natu ofRee ' `
Explain:
I A,4, lr'ex
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 of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to be Sent in alter return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)