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2309 BRUNDAGE LANE (2)
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B. _ K.._B_ R_S F �._ C _D FIRE D ARTRE, BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME p 'Z a r-I tC t� .v ; P" INSPEtCTION DATE g 1 E) 1 I I INSPECTION TIME ADDRESS _ �'j t (''� %� 1 /,) '`� ( n t PHONE ,NO. � •�� �y �: G ,ems NO OF EMPLOYEES t ) FACILITY CONTACT ❑ 0; BUSINESS ID NUMBER Consent to Inspect Name /Title CE ❑f�_) ❑ I V V 4-7 Lb ( Section 1: Business Plan and Inventory Program (ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑- COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ©Zj ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ 0; Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) V' '.D 7G , M CE ❑f�_) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) f ❑CN ❑ CORRECT OCCUPANCY (CBC: 401) 0? ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729:3) ' [21'% ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 11j6) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑'c'j ❑ 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)) s ❑'7 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑-I ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑"� ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION 1 (CFC: 903 & 906) �- ❑ ❑' SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE O,N SITE? ❑ YES ❑bNO Signature of Receipt 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) Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)