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5301 WHITE LN HMBP 5.28.14
1441114 V �aS ") UNIFIED PROGRAM INSPECTION CHECKLISTS, SECTION 1: Business Plan and Inventory Program , rwcb VB ERSFIELD DEPT. ('compliance) OPERATION V= Violation FIRE INSPECTION_ DATE Prevention Services a s P I e /RE 2101 H Street IRrM Bakersfield, CA 93301 Tel.: (661) 326 -3979 .. Fax: (661) 852 -2171 FACILITY NAME V ('compliance) OPERATION V= Violation INSPECTION_ DATE COMMENTS INSPECTION TIME O4fk (/ F (BMC: 15.65.080) .. ❑ ADDRESS �.S (((w t b`- PHONE NO. VISIBLE ADDRESS NO OF EMPI. OYEES ZZ ZZ Vc �. Lo ��l( 1�- b�_ ❑ CORRECT OCCUPANCY (CBC: 401) FACILITY CONTACT �,- j 1 ❑ VERIFICATION OF INVENTORY MATERIALS BUSINESS ID NUMBER ❑L... ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) Consent to Inspect Name/Title 0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) E1, ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ©� ❑ VERIFICATION OF MSDS AVAILABILITY Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ('compliance) OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) .. ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) �.S (((w rk C �e ./_— V\ Y_ L—�C�. b`- ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ZZ ZZ Vc �. Lo ��l( 1�- b�_ ❑ CORRECT OCCUPANCY (CBC: 401) t ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑L... ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) E1, ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ©� ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) Q ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Ca' ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) f9 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) E�z,. ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) iv ,�! [Y [I SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑YES O< No Signature of Receipt Explain: POST INSPEC 11ON !NS'rKUC 111JAJ: • 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 >t- �LS Signature (that all:violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after retum to Compliance Pink — Preventim+ Services Copy FD2155(Rev 6//10)