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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM CHECKLIST 2 101 H Street
BakersAeld, CA 93301
SECTION 1: Hazardous Materials' Business Plan Tel.: (661) �26-3979
Insnection Fax:, (661) 852-21171
FACILITY NAME mcDat—rinKi nA-rm
jnspecton '!J)A,
POST INSPECTION fNSTRUCTIONS-
Correct the violation(s)r noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page `to: Signature (that all violations have been corrected lasInoted)
I Bakersfield Fire Dept., Prevention Services, 2101 H Street, California -93301
Date
White — Business Copy Yellow —.,Station Copy Pink — Prevention Services FD,2155,(Rev 0/2017)
INSPECTION TIME
x
ADDRESS
PHONE NO.
7
NO OF rl_OYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
jnspecton '!J)A,
POST INSPECTION fNSTRUCTIONS-
Correct the violation(s)r noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page `to: Signature (that all violations have been corrected lasInoted)
I Bakersfield Fire Dept., Prevention Services, 2101 H Street, California -93301
Date
White — Business Copy Yellow —.,Station Copy Pink — Prevention Services FD,2155,(Rev 0/2017)