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2735 O STREET_HMBP 6.22.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program r• A AR t_.__o T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ( C= Compliance OPERATION V =Violation INSPECTION DATE INSPECTION TIME L (,'o B0, QkKS -P-4- 44 CIP '4�-e6 // 1v./ ADDRESS Business PLAN CONTACT INFORMATION ACCURATE PHONE NO. NO OF EMPLOYEES FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER Z 441 y SGv 4 AV) 5' S`7 ,43 /SG f 000 76 7 Consent to Inspect Name /Title 0," ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) I/ 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) ©f ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 12' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) I� ❑ CORRECT OCCUPANCY (CBC: 401) 0," ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 'Cl, El VERIFICATION OF QUANTITIES (CCR: 2729.4) ©" ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑"� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 1,1' ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) . ❑' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) El ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) I]' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ©" ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 12' ❑ HOUSEKEEPING (CFC: 304.1) 12' ❑ FIRE PROTECTION (CFC: 903 & 906) C r ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? DYES ❑ NO Signature ofRecei Explain: POST INSPUC'FION 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 (thatlaff violations have been corrected as noted) Date While — Business Copy Yellow— Business Copy to be Sent in aRer return to Compliance Pink — Prevention Services Copy " FD2155 (Rev 60 0)