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3001 BRUNDAGE LN HMBP 6.5.14
UNIFIED PROGRAM INSPECTION CHECKLIST' SECTION 1: Business Plan and Inventory Program 1�'ft d m s e,-w r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v ( C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME ❑' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) PHONE NO.} NO OF EMPLOYEES ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) of FACILITY CONTACT CORRECT OCCUPANCY (CBC:401) BUSINESS ID NUMBER 01 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) [5 Consent to Inspect Name /Title VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑" itn✓�C 1 VERIFICATION OF LOCATION (CCR: 2729.2) ❑� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) Section 1:! Business Plan and Inventory Program ( ❑' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) of ❑ CORRECT OCCUPANCY (CBC:401) 01 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) [5 ❑ 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)(6)) ©} ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ©' ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) d ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Q ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.340, CFC: 2703.5) :1 HOUSEKEEPING (CFC: 304.1) ,Q w ❑ FIRE PROTECTION (CFC: 903 & 906) Ej ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ES ❑ NO Signature of Receipt Explain: � x �� o �j �J t f 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, 2.101 H Street, California 93301 Signature1(1(tat lll ns have been corrected as noted) ( ' _ l Date white — business Copy Yellow — Business Copy to be Sent in afterretnm to Compliance Pink — Prevention Services Copy FD2155(Rev 6//10)