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4550 CALIFORNIA AVE HMBP 6.19.14
UNIFIED PROGRAM INSPECTION CHECKLIST`, a- aF�R SECTION 1: Business Plan and Inventory Program BA�KERSFIELD FIRE DEPT. Prevention Services ° 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAM 0 INSPECTION DATE INSPgCTION TIME ADDRESS _ 56d CAL[r- A- je PHONE NO. �;69 -0 6�)�l NO OF EMPLOYEES i FACILITY CONTACT I c - C.-jF -r(t3 BUSINESS ID NUMBER ooz4 2-cc Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program rk ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance) OPERATION COMMENTS V= Violation \LI "� ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) rr�( }'y ❑ VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020) `Eq ❑ CORRECT OCCUPANCY (CBC: 401) S� I' ' � C r- ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Z0 1 Z 04 l?i ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) D ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) i t ©, ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑J ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) (� ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) i ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5) ❑L}. ❑ HOUSEKEEPING (CFC: 304.1) LT(: ❑ I{° FIRE PROTECTION i (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) �!f ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Si nature ofRece t % ri 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) White - Business Copy Yellow- Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy F[12155 (Rev 6/110)