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3360 STINE ROAD_HMBP 4.29.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B E R s F I B Lp N IRE D RTM 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 INSPECTION DATE Y /aA INSPECTION TIME �5 CSL►Dir Lt! S oft • ADDRESS +- PHONE NO. NO OF4MPLOYEES 3&n 5-k L -.1 FACILITY CONTACT 1<n BUSINESS ID NUMBER fr'ji et- Jooyvd -'7 Consent to Inspect Name /Title ❑/ ❑ VERIFICATION OF INVENTORY MATERIALS S ia' r t .-)' A ^--N rt f Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance . OPERATION COMMENTS V= Violation ©' ❑ APPROPRIATE PERMIT ON HAND (BMC; 15.65.080) ❑""' ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) `L4 ❑ 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) 11 Ile- ❑ 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) ❑� ❑ 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) 1 ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) Ar ,. �i ANY HAZARDOUS WASTE ON SITE? ES ❑ NO SignatureofReceipt � t t Explain: HL.v, -Itti<° 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 A, Signature (that all violations have been corrected as noted) L t While —Business Copy Yellow — Business Copy to be Sent in alter return to Compliance Pink — Prevention Services Copy 1`132155 (Rev 010)