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3809 SAN DIMAS ST #A HMBP 2.19.14
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Business Plan and Inventory Program B E R S P I 1 D F/RB ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME_ l J INSPECTION DATE INSPECTION TIME ADDRESS r PHONE NO NO OF EMPLOYEES FACILICONTACT /jolt %r BUSINESS ID NUMBER Consent to Inspect Name/ Title Section 1: Business Plan and Inventory Program 13 ROUTINE ❑ COMBINED ❑ JOINTAGENCY El MULTI-AGENCY El COMPLAINT ❑ RE- INSPECTION C v C= Compliance) OPERATION V= Violation COMMENTS ©� ❑ APPROPRIATE PERMIT ON HAND (BMG 15.65.080) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) g ©' ❑ CORRECT OCCUPANCY (CBC: 401) <' !f 0 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) El ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 0 ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 05 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1] ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) CI ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.340, CFC: 2703.5) EJ ❑ HOUSEKEEPING (CFC: 304.1) 0" ❑ FIRE PROTECTION (CFC: 903 & 906) Q ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITES ❑ YES ❑ NO Signature of Receipt 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).< While — Business Copy Yellow — Business COpy to be Sent in utter rem., to Compliance Pink — Prevention Services Copy FD2155(Rev 6 /110)