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3450 MAIN PLAZA_HMBP 1.18.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program 011111111w� E R_S F_1 E 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 C r..� �.� LQ INSPECTION DATE 1 1 Im + 1 INSPECTION TIME ADDRESS k , ,^y PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory 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) 111 ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) El - ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑,, ❑ CORRECT OCCUPANCY (CBC:401) ❑. ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) E] E] 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) ID ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ED ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑,- ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.340, CFC: 2703.5) © ❑ HOUSEKEEPING (CFC: 304.1) ❑o ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signaturt Recei 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) l� �1 Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy 17132155 (Rev 6//10)