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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program V
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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 INSPECTION DATE INSPECTION TIME
COMMENTS
APPROPRIATE PERMIT ON HAND
ADDRESS PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
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Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTI
C v C= Compliance OPERATION
V= Violation
COMMENTS
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
U. 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)
E VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(B))
l VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
El i CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.5)
P, HOUSEKEEPING CFC: 304.1)
0 FIRE PROTECTION CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO SignatureofReceipt,_-
Explain: T
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POS'F INSPPC; I'ION INS I RUC I IONS:
Refer to the back of this inspection report for regulatory citations and corrective actions
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
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
Date
While — BnslnC$s Copy Yellow — Business Copy to be Sent in after return to Compliance : Pink Prevention Services Copy FD2155 (Rev 12/11)