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2351 BRUNDAGE LANE_CRYSTAL GEYSER HMBP 4.8.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. A Prevention Services B P R S _F. I L D 2101 H Street FIRE ARrM . r Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION,DATE INSPECTION TIME C A ,�u I y %F5/1i 154 ❑ ADDRESS 2-I. S1 E PHONE NO. —2j - NO OF EMPLOYEES °�ti �C�� c, nr ❑t s Business PLAN CONTACT INFORMATION ACCURATE FACILITY CONTACT ,. -1_ BUSINESS ID NUMBER It) ❑ Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program Elk ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS 154 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑t s Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) It) ❑ VISIBLE ADDRESS' (CFC: 505.1, BMC: 15.52.020) 22 ❑ CORRECT OCCUPANCY (CBC: 401) \15 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ©� ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑j ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) (]t ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) LJ� ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) f� �❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑' ' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(11, CFC: 2703.5) ❑;P ❑ HOUSEKEEPING (CFC: 304.1) .n ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) 09 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) i f ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑:NO Sign ature.ofReceiptrr/ 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 6HI0)