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13004 stockdale bp 3-25-14
KERN BUSINESS FORMS - (661) 325 -5818 - #6013 . BAKERSFIELD` FIRE -DEPT: < � ti i . . • Preven on Serv, ces. UN.IFIE® PR ®GRAW fNSh,ECT O, - C.i-1E�C LIST 2101H Street ., 'FIRE, N r� .,. :., Bakersfield,: =CA 933 «01 SECTION .1 :. B.USilless Plan and Inventory Program Tel: (661)`326 -3979 Fax: (661)..,852 =2,171 FACILITY NAME r ,•.. INSPECTION: 'DATE GAS i' INSPECTION: TIME' ADDRESS ; g PHONE NO. :° . NO OF EMPLOYEES FACILITY CONTACT; %,.� �. BUjSINESS ID.}NUMBERj`` , Consent-to Inspect Name/Title ' ...x:Y :... !k'.. c. � ....: w. .: � ... ... ... :tv, - pp �.: x.. ... _ .. PIa and .Pr. 2 >,. � Secfiio ��a.., �a:�, .<. �;, .,.; a.�..1 ,'.« �« ,. ,., ��.':'u:✓« ,,.xaa< -,„ S.. .,, ,' „x?�.,_r.. �.'':, i ..t,as.f';:, .: ...s:a�... ,, 'r3. ' .r v wx 'ROUTINE, COMBINED ❑ JOINT�AGENCY .❑ MULTI-AGENCY •❑ ,COMPLAINT ❑ RE .INSPECTION . C= Compliance;: - C : �/ ( ) OPERAI'10N V= Violation COMMENTS - ❑ :. '/APPROPRIATE PERMIT ON'HAND (BMC: 15:65080) �;. ❑ •BUSIneSS-PLAWCONTACT INFORMATION ACCURATE -.. (CCR:`2.729.1) ' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) , ❑ . UERIFICAT.ION OF INVENTORY MATERIALS (CCR- 2729:3) . . _. .� ❑ VERIFICATION'OFQUANTITIES (CCR: 2729.4) X [ ❑ VERIFICATION.OF'LOCATION (CCR`. 2729:2) ❑ PROPER.:SEGREGATION OF'MATERIAL (CFC.2704.1) ❑ VERIFICATION <OF MSDS AVAILABILITY (CCR: 2729.2(3)(6)) ' ❑ VERIFICATIONOF HAZMATTRAINING (CCR:,2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES PROCEDURES (CCR:`2731(c)) < .. ❑ _EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) i ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(1),.CFC: 270 &5). LE ❑ HOUSEKEEPING (CFC:304'1) CFC: 903 & 906 ❑ FIRE PROTECTION ( ) / ? 40c .% '.r�s. f,r• t?'.s; r ❑. SITE DIAGRAM,ADEQUATE &:ON HAND (CCR: 2729'.2) ANY _HAZARDO.U.S WASTE: ON SITE? ❑ YES �' NO Sii nature ofR�eipt 'L Explain: POST INSPECTION INSTRUCTIONS: ` • Correct.tlie violations) noted above -,,by ' Signature (that-all violations have been ;corrected asnoted) e Within 5 days °of correctink all of; the'violations,: sign and return a.copy of this page to: