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Home My WebLink About3300 BUENA VISTA ROAD_HMBP 9.3.10UNIFIED PROGRAM INSPECTION .CHECKLIST SECTION 1 Business Plan and Inventory Program _ FIRE ARIM D BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME CP-oz T114/2U IN C fON ATE INSPECTION TIME ADDRESS 33:!)O /SUQNA \It 1-a f�fa PH NO. -4 �Z NO OF EMPLOYEES / - FACILITY CONTACT (BMC: 15.65.080) BUSINESS ID NUMBER `/Zj1n 17-- &2R L-(2A ❑ Consent to Inspect Name /Title Section 1: Bmsiness Plan „and,'lnventory 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) w `/Zj1n 17-- ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE, (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC: 401) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) std P ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) C� ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) t N� 4 G?U,P 2� ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 50,P -C twAT60— D ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE.PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES �O Signature of Receipt TTTt��fl C/C Yl 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 010) UNIFIED PROGRAM INSPECTION CHECKLIST, SECTION 1': Business Plan and Inventory Program B I_E_R_ S_F_I E� D FIRE D ARTNA T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME p C R. O _ t j rt f i o C-,x _a"Z s IN C/�AON�ATE .-3//10 INSPECTION TIME ADDRESS !i� PHI O. �12 NO OF E MP,LOYEES APPROPRIATE, PERMIT ON HAND (BMC: 15.65.080) t " ❑ FACILITY CONTACT Business PLAN CONTACT INFORMATION ACCURATE BUSINESS ID NUMBER �C Crza6(zA ❑ Consent to Inspect Name /Title 11 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Section I: Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ aJOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE, PERMIT ON HAND (BMC: 15.65.080) t " ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ 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) t N C 4f 6)V, ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) • ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) • ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) P C t _ �C(_ ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES NO Signature ofReceipt to ^ Explain: POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by !�41t 0/1 • 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 �l�Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010)