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3004 JEWETT AVE HMBP 2014
iglg Vlecrsw a UNIFIED PROGRAM INSPECTION CHECKLIST x s FIRE AMTIN r SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME CA, INSPECTION DATE If, INSPECTION TIME Y C �- ADDRESS '• ^` PHONE NO. NO OF EMPLOYEES FACILITY CONTACT _ BUSINESS ID NUMBER Consent. to Inspect Name/Title Section 1: Business Plan and loventoryProg>raam L:7� �ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance) OPERATION V= Violation COMMENTS ❑ ©i APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) - �• /• �o ? �� , - .Zr ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) EJ� ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Z" ❑ CORRECT OCCUPANCY (CBC: 401) G S r � �'2 S S' 2-� ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729:3) /( /TS co r ✓l C ❑ VERIFICATION OF QUANTITIES (CCR: 2729:4) d ❑ VERIFICATION OF LOCATION (GCR: 2729.2) ❑' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 2r ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) Z ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) d ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Zr ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) © ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) Cf ❑ HOUSEKEEPING (CFC: 304.1) IT ❑ FIRE PROTECTION (CFC: 903 & 906) 2r ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Si¢ nature of Receipt , f;,; hh!. 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 have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Bent in after velum to Compliance Pink — Prevention Services Copy F132155 (Rev 6 1/I0)