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3807 SAN DIMAS ST #B HMBP 2.19.14
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program rT BAKERSFIELD FIRE DEPT. Prevention Services 2101H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME .. INSPECTION DATE INSPECTION TIME 12 ADDRESS PHONE NO. / NO OF EMPLOYEES r^^� 07 6 !, _ i FACILITY CONTACT BUSINESS ID NUMBER C Consent to Inspect Name /Title POST INSPECTION INS I MUC 11UNS 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 r r Signature (that all violations have been corrected as noted) Winn, — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155(Rev 61110) Section 1: Business Plan and Inventory Program 12 ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION COMMENTS V= Violation ( ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) El/ .❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ?! ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) J ❑ ❑ CORRECT OCCUPANCY (CBC: 401) ©f ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑`f a❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 3� o /I 4- ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ..1� r (lam El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) . 9'A ", ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) C� ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) d ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑YES O Signature of Receipt; \{ \ \ ` Explain: (� J POST INSPECTION INS I MUC 11UNS 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 r r Signature (that all violations have been corrected as noted) Winn, — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155(Rev 61110)