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1291 33 STREET
BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST B E R S F I D 2101 H street v ARTM Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME / INSPECTION ATE INSPECTION TIME : /� 70' L l J3 — ADDRESS 2 33� PHONE NO. -747 -8GS�Yff NO OF EM LOYEES --& - FACILITY CONTACT BUSINESS ID NUMBER ❑ ©'_ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ' Consent to Inspect Name /Title i s im, lon 1 s Pla n and Intme 4 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance) OPERATION V= Violation CO' MMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Er' ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ©'_ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ' Iff'❑ CORRECT OCCUPANCY (CBC: 401) E'❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Er"' 11 VERIFICATION OF QUANTITIES (CCR: 2729.4) Ems❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 2-"-E:l EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES O 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 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10)