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3214 MING AVENUE_HMBP 4.21.11
1 L UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B_ x ER S F I Hl, D FIRE D ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME I S CTIO,N )ATE INSPECTION TIME ADDRESS � r Y v PHONE NO ( NO OF EMPLOYEES FACILITY CONTACTe L &j:. i _ (, BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program" _0' ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS Q ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3 ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) '® ❑ VISIBLE ADDRESS 'jf� (CFC: 505.1, BMC: 15.52.020) Qd ❑ CORRECT OCCUPANCY/C- (CBC: 401) 8, ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1:1`I ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ©I ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0, ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑1 ❑ VERIFICATION "OF HAZ MAT TRAINING (CCR: 2732) Q ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) —E:r ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ✓ [31 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 'D ❑ HOUSEKEEPING (CFC: 304.1) DU ❑ FIRE PROTECTION (CFC: 903 & 906) GC�C 01 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) j� j ;� A• bt p1j ry,i y LIZ -0C ) �1 !`� J ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature of -Recei t/ k 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 aIlMolations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6H10)