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3403 WILSON ROAD _HMBP 5.25.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory . Program n B _ R R S P 1 R 1_D FIRE D,FARTfflk T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME t INSPECTION DATE INSPECTION TIME ADDRESS 31403 6,- ` t sit\ ` t PHONE )-.f 1z / NO OF EMPLOYEES `� FACILITY CONTACT bf . ". Jf lt7✓ BUSINESS ID NUMBER J�J[� (CCR: 2729.1) Consent to Inspect Name/Title ,�I � VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 4 t G1\ CORRECT OCCUPANCY (CBC:401) Section 1: Business Plan and Inventory Program . ( ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance. OPERATION V= Violation COMMENTS j0� O APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ff� ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 4 Cir- ❑ CORRECT OCCUPANCY (CBC:401) R< ❑ VERIFICATION OF INVENTORY MATERIALS t (CCR: 2729.3) 3< ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) '15� ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 1 J0I. ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑DC, ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) -:. ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) B'_ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 0' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ©"' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) El- ❑ HOUSEKEEPING (CFC: 304.1) 01-- ❑ FIRE PROTECTION (CFC: 903 & 906) E'` ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ®YES ❑ NO Signature of Receipt Explain: G' 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, 210,1 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)