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2735 O ST HMBP 6.15.15
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. H aARTPrevention Services N 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 'kr e<: (661) 852 -2171 FACILITY NAME V INSPECTION DATE INSPECTION TIME 1 [21' ❑ I t Ai A PHONE NO. NO OF EMPLOYEES ADDRESS - ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0 FACILITY CONTACT VISIBLE ADDRESS BUSINESS ID NUMBER Q ❑ r CORRECT OCCUPANCY (CBC: 401) Consent to Inspect Name /Title f . ❑ i (CCR: 2729.3) ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) Section 1: Business Plan and Inventory Program ❑ ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance) OPERATION V= Violation COMMENTS [21' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.66.080) ❑- ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Q ❑ r CORRECT OCCUPANCY (CBC: 401) e ❑ ❑ 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)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) g ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) E3 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) © ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) +F ❑ ❑ HOUSEKEEPING (CFC: 304.1) © ❑ FIRE PROTECTION (CFC: 903 & 906) F -' 0 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES ❑ NO §i pature of Recei Explain: 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 corrected as noted) • White - Business Copy Yellow - Business Copy to be Sent in after return W Compliance Pink - Pmention Services Copy M2155 (Rev 61110)