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3505 BUCK OWENS_HMBP 6.17.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:. Business Plan and Inventory- Program B_ _ - R._5.._F ,1 L D F /RE ARTM + T BAKERSFIELD FIRE DEPT. Prevention Services . 2101 H Street Bakersfield-, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME R- PN)'A1iZ INSPECTION DATE 41 f? %) j INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER N\ N--s- V- L CifJy� nL F. Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program 8 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( c= Compliance OPERATION V= Violation COMMENTS ®a ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) F. ❑ ED Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) } A I „� CC e S b ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Y' ©) ❑ ' CORRECT OCCUPANCY (CBC: 401) 0' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 4 No ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) } 19- ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 1/0) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑' ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) Ow' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑' ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0, ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) . ❑ HOUSEKEEPING (CFC: 304.1) ❑ O, FIRE PROTECTION (CFC: 903 & 906) -0� El SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt Explain:_ �) `' -. - t e' fiw -e". c v .r •• y j ..lai . . ;/� _ C 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 6//10)