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11500 BRIMHALL ROAD (3)
UNIFIED PROGRAM _INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R S F I VAL D F /RE D ARTM BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME C8k -C -�z INS ECTION DATE 1�)8)11 INSPECTION TIME ADDRESS 1 .S 'A f, PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program OUTINE ❑ COMBINED' ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ : RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) '0 ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) I]' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC:401) ©o ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0. ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) Qj. ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑o ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑a ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ) r, C_ I]a ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) �a ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5) ID. ❑ HOUSEKEEPING (CFC: 304.1) ❑ j3) FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sigilatu re f,Recei t ` Explain: POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by W J �OSI CA • 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 Signf a (that all violations have been corrected as noted) "1�\`A \\ Date N White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)