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BAKERSFIELD FIRE DEPT.
A Prevention Services
, %UNIFIED PROGRAM INSPECTION CHECKLIST LAI E R S F I -IE L D 2101 H Street
FIRE
aRrM r Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME y z
INSPECTION DATE
1-1 % /
INSPECTION TIME
e-1
f' 17 t 1. t `v fJU f z r1'l KG .
Z I f f r
I 30
ADDRESS
PHONE NO.
NO OF7PLOYEES
21 -7 S %
(,6/- S 3q- 014 3
'
FACILITY CONTACT
BUSINESS ID NUMBER
lJ' ❑
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)
D/ ❑
Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
EY / ❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
lJ' ❑
CORRECT OCCUPANCY
- (CBC:401)
-
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑/ ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
U/1110
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
ED/ 11
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
11//11
J❑
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? ES ❑ NO
Signature ofReceip
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
!4 is )C-.ap
Signature (that all violations have been corrected as noted)
Date
Pink — Prevention Services Copy FD2155 (Rev 600)