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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: , Business Plan and Inventory Program
R..... Y _. C_.._R_ S._F_. I. L L._ D
FIRE
ARTM r
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
C O M M E IV T S
ADDRESS PHONE NO. NO OF EMPLOYEES
Z( S'I
FACILITY CONTACT BUSINESS ID NUMBER
E VISIBLE ADDRESS
Consent to Inspect Name /Title
Section 1: Business Plan and Inventory Program
ZI ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V C= Compliance OPERATION
V= Violation
C O M M E IV T S
APPROPRIATE PERMIT ON HAND BMC: 1.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1)
E VISIBLE ADDRESS CFC: 505,1, BMC: 15.52.020)
CORRECT OCCUPANCY CBC:401)
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L/I VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
1
IJ PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
2 VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(6))
L/1 VERIFICATION OF HAZ MAT TRAINING CCR: 2732)
Q VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES CCR: 2731 ))
EMERGENCY PROCEDURES ADEQUATE CCR: 2731)
Ef 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? 11 YES NO 11 Sigilifthro, ofRdc i
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 of the violations, sign and return a copy ofthis 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 Sentin alterreturn to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)