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3500 STINE ROAD_HMBP 4.29.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program • A FIRE V _ .1 T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ' V-5 a 1-n , INSSPIICT ION DATE joz 1 � -� I INSPECTION TIME 2-:,/,5 ADDRESS 3500 s 41 r J. PHONE NO. 44 /- 9 33-1s5 3 NO OF EMPLOYEES a 5 FACILITY CONTACT BUSINESS ID NUMBER I?< ❑ mot.: Consent to Inspect- Name /Title VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Tor C I, -r) CORRECT OCCUPANCY (CBC: 401) Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ +COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS 0 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) I?< ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0� ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) yO'r L] ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ©f ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) El-' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑- ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ " ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 3/* ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑-' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑t/ ❑ HOUSEKEEPING (CFC: 304.1) ❑' / ❑ FIRE PROTECTION (CFC: 903 & 906) ❑D" ❑ ° SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ES ❑ NO Signature of Receipt Explain: si ). vet e> 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 (thatall vio tions have been c rrected as noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 61/10)