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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory
JD# LR;T
I E D
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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
2 ly'Zf/7
ADDRESS
on X
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
C\ 1A)IA 'd 1 f/ 3 1 V / 4 -le
BUSINESS ID NUMBER
Consent to Inspect Name /Title _ -
j S
Section 1: Business Plan and Inventory Program
ROUTINE COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C v 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)
J CORRECT OCCUPANCY CBC:401)
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
VERIFICATION OF QUANTITIES CCR: 2729.4)
VERIFICATION OF LOCATION CCR: 2729.2)
1j PROPER SEGREGATION OF MATERIAL CCR: 2704.1)
VERIFICATION OF MSDS AVAILABILITY CC :2729. 2(3)(B))
VERIFICATION OF HAZ MAT TRAINING CR: 32)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCN, 2731))
EMERGENCY PROCEDURES ADEQUATE CCR: 2 31)
W! CONTAINERS PROPERLY LABELED CCR: 66262.34(F), CFC 2703.)
HOUSEKEEPING CFC: 304.1)
FIRE PROTECTION CFC: 903 & 906)
IT SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? YES NO Signature of cei t
Explain: I
POST INSPECTION INSTRUCTIONS: ORefertothebackofthisinspectionreportforregulatorycitationsandcorrectiveactions
Correct the violation(s) noted above by Signature (that all violations Ave been orrecte s n ed)*
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 5 e Z_ t> !/
Date
White — 13usiness Copy Yellow— Business Copy to be Sent in afler return to Compliance Pink Prevention Services Copy FD2155 (Rev 12/11)