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1000 18TH ST HMBP 6.7.14
Am -'� f two ffz� BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST' a sF /RE1 p 21O1H Street Bakersfield; CA 93301 SECTION 1: Business Plan and Inventory Program Tel.. (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v INSPECTION DATE INSPECTION TIME ADDRESS 1-t� 000 • PHONE NO. (MI) u33 -00YJ NO OF EMPLOYEES 1 FACILITY CONTACT /.j�,,� 9 /�•�;<� �;° 1; `� 'r =< BUSINESS ID NUMBER nisi r Consent to Inspedt Name /Title ❑ _ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) C v Section 1: Business Plan and Inventory Program COMMENTS ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION. C v ( C= Compliance OPERATION COMMENTS V= Violation ©� ❑ _ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) IT ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) L C S + CEPS �'CA r^ ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) / 2 ❑� ❑ CORRECT OCCUPANCY (CBC: 401) 1V 7 ❑ 1 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑! ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) d ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Gr ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) D' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) D ❑ HOUSEKEEPING (CFC: 304.1) ❑ Q� FIRE PROTECTION (CFC: 903 & 906) /, /I... /! L pf ❑ SITE DIAGRAM;ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO Signature of Receipt Explain:„ POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by J- I ? /Z/ • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Bakersfield. Fire De/ /!pt., Prevention Services, 2101 H Street, California 93301. 1-, ( S TG l f 11_�/ - 4 L(" l .'' s{ 4( -, White — Business Copy Yellow — Business Copy to be Sent in alter mium to Compliance Signature (that all violations have been corrected as noted) Pink — Prevention Services Copy FD2155(Rev G //In)