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3701 SILLECT AVENUE_HMBP 6.15.11
UNIFIED PROGRAM INSPECTION CHECKLIS SECTION 1: Business Plan and Inventory Program B A(K_E R S F 1 E\_D FIRE D ARrk"r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME L_ C, vA t 1-vv�s r. � 7� �.>�� INSP CTION DATE o /_5% /I INSPECTION TIME ADDRESS 3 � o I 5 , rr E P( 0544. - 2-3a-) 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 26 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ©::�' BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) (—C �(2 5 ®) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) LJ? ❑ CORRECT OCCUPANCY (CBC: 401) �.. Den ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) r ❑, ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 03 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) (]� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) OJ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 0� ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) _0:0 ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) t]O ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) �Q ❑ HOUSEKEEPING (CFC: 304.1) E! t ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR::2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES 1010NO Signature of Receipt. _,;;_" 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) Date White —Business Copy Yellow — Business Copy to be Sent in aRer return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10) e