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8490 ROSEDALE HWY_HMBP ROADHOUSE GRILL 2011
UNIFIED PROGRAM INSPECTION -CHECKLIST SECTION 1: Business Plan and Inventory Program e _ e R s r t e t_n FIRE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 4- INSPECTION DATE INSPECTION TIME ADDRESS TJ 1 i d 1 C3 7 J PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program t©, ROUTINE . COMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 0 APPROPRIATE PERMIT ON HAND BMC: 15.65.080) 9 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) A C -i r` n 13 VISIBLE ADDRESS CFC: 505.1, BMC: 15.52.020) Qy CORRECT OCCUPANCY CBC: 401) VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3) 9 VERIFICATION OF QUANTITIES CCR: 2729.4) fi VERIFICATION OF LOCATION CCR: 2729.2) PROPER SEGREGATION OF MATERIAL CFC: 2704.1) VERIFICATION OF MSDS AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732) n VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) t El EMERGENCY PROCEDURES ADEQUATE CCR: 2731) 1,0, CONTAINERS PROPERLY LABELED CCR: 66262.34(f , CFC: 2703.5) I]t HOUSEKEEPING CFC: 304.1) v 0 FIRE PROTECTION CFC: 903 & 906)- r'• SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES 0 N0 Signature of Receipt Explain: f 1. POST INSPECTION INSTRUCTIONS: 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 vi lations 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 6 #10)