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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
C Z BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EtrOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
-021- 73n<
Consent to Inspect NamelTitle
Section 1: Business Plan and Inventory Program
ff'R6UTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance OPERATION
V= Violation
COMMENTS
19 ❑
APPROPRIATE PERMIT ON HAND
(BMC: 1.65.080)
J(l,� ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
[Ji ❑
VISIBLEADDRESS
(CFC: 505.1, BMC: 15.52.020)
O C% R S 1- n
Ll' ❑
CORRECT OCCUPANCY
(CBQ 401)
/ U 7 1
S ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
EV ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
1V ❑
PROPER SEGREGATION OF MATERIAL
(CCR: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(6))
❑`/ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑� ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR: 2731))
I' ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0/ ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(F), CFC 2703.5)
❑ ❑
HOUSEKEEPING
(CFC: 304.1)
❑ [a
FIRE PROTECTION '"
(CFC: 903 & 906)
[� ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
,
ANY HAZARDOUS WASTE ON SITE? ❑ YES
❑ NO
Signature of Receipt
Explain:
POST INSPECTION INSTRUCTIONS:
• Refer to the back of this inspection report for regulatory citations and corrective actions
• 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 alt violations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to be Sent in alior return to Compliance Pink Prevention services Copy FD2155 (Rev 12111)