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HMBP 4-12-11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B q, E R S F I ESL D FIRE D ARTN (ll T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME �Ot1 1i�.gea n5 INSPECTION/ DATE +/) Z/ / I INSPECTION TIME ADDRESS - 9650 HP,4e rA-aN3 PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑L'G,OMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS Da ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) i ❑a ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) 11.°x' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑Z, ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0� ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑`- ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 0V ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 130 1:1 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 0) ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) �� 63 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑� ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) 00 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ©;;,YES ❑ NO Sir-nature of Receipt J, Explain: ` .� .,�, .) �:.. � \ ic„ s::. �.,. c,, �-�' -� ..,,) �L� `"-~'�/ � � t•J'.��, �� t u � �� 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 violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6UI0)