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3131 JEWETT AVENUE _HMBP 4.19.11
UNIFIED PROGRAM. INSPECTION :CHECKLIST I _ SECTION 1: Business Plan and Inventory Program ,� B d ! E R S F I IH 1, D 0 "ARTM�1 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 APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ©/' ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ADDRESS El El VISIBLE ADDRESS PHONE NO. NO OF—EMPLOYEES 3 (:5 CORRECT OCCUPANCY (CBC: 401) 661 3ZS= 6-Ve ❑ FACILITY CONTACT (CCR: 2729.3) BUSINESS ID NUMBER C -T4_/?s ❑ ❑ Consent to Inspect Name /Title (CCR: 2729.2) Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION . C v ( C= Compliance OPERATION V= Violation COMMENTS [1J'0 APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ©/' ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) El El VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ©` ❑ 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) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1 ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ 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? ❑YES 01F NO Signature of Reeeipt 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 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)