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2710 O STREET_HMBP 6.27.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B q K E R S P I D (\ FIRE D ARTNE /T 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 7!0 ®� yPHONE 9 O. _�� f •I�IDU�+NUMBER NO OF EMPLOYEES FACILITY CONTACT BUSINESS Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program ROUTINE ❑ 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'❑ BUSIf1eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Gf T D OB / VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) E? ❑ CORRECT OCCUPANCY (CBC:401) • VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) A oe> • ("_'VERIFICATION OF QUANTITIES (CCR: 2729.4) /V(fi ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ©'--E–1 PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ©� ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) E4---"❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 0'--'❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) Q /' [WtMERGENCY PROCEDURES ADEQUATE (CCR: 2731) r ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) El—'El FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE,I,ON SITE? ES © Sip_nature of Receiptk j � 1 Explain: "9 Olt POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by Signature (that all violations have been corrected as noted) • 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 ! Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)