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4700 coffee bp 8-14-12
KERN PRINT SERVICES - (661) 325 -5818 - KPS -2215 BAKERSFIELD FIRE DEPT. ' PreVen ion S.ery ces t' i UNIFIED PROGR AM INSPECTI ON C,HEC% UST' B ; 2 ;O1 H:Street 1 FURE Bakersfield, CA 93301 SECT'L'ON 'I :,,-B, SICi&Ss Plan and Inventory PrOgrarn Tel : ' (661) 326 -3979 ; Fax: (661) 852- 2171 FACILITY'NAME INSPECTION PATE .' INSPECTION�TIME _ ADDRESS '.l'l . 5'.:,5 3oz PHONE NO: d eel) Ste - NO OF"'EMPLOYEES FACILITY CONTACT BUSINESS ID `NUMBER l Consent to Inspect Name /Title - a k R T Section 1 Hess .Plan..and Inventor Pro, "ram Y � r ROUTINE ❑. COMBINED ❑ JOINT.AGENCY ❑ MULTI- AGENCY ❑ `COMPLAINT ❑- RE- C- Compliance C--Compliance). C �/ ( - )' OPERATION COMMENTS V= Violation ❑ APPROPRIATE PERMIT ON HAND MC: 1.65:080) Y"L ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE .. (C.CR 2729.1) CFC: 505.1,:BMQ: "15.52.020 ❑ VISIBLE ADDRESS (' ), ❑ CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF INVENTORY MATERIALS „ (CCR:.27,29.3) *� ❑ . VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 27,29.2) ❑ PROPER, SEGREGATION OF MATERIAL (CCR: 2704.1) ' ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(6)) . ❑ VERIFICATION OF 'HAZ MAT .TRAINING (CCR. 2732) I ^+ t ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR. 2731)). ; ❑ EMERGENCY PROCEDURES ADEQUATE j (CCR. 2731) �.. ��t^ ❑ ~`I _. CONTAINERS PROPERLY LABELED (CCR: 66262:34(F), CFC 2703.5) V. ❑ HOUSEKEEPING CFC: `304.1 ( ) :., . ❑ , FIRE. PROTECTION - (CFC: 903 &'906) � /❑ SITE DIAGRAM ADEQUATE &CON HAND (CCR: 2729 2) ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO SiQnafure.of Reeeipt '4 t�._,�4r• :Explain: A r POST INSPECTION INSTRUCTIONS: : ®� :Refer to'thebacic oftliis inspection reportfor regulatory citations and. 'corrective actions � e Correct the violations) noted above by Signature (that all violations have, been corrected as noted) ,