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3713 STINE ROAD_HMBP 2011
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B A E R S F I H D FIRE JU BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, (:A 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME C((i k,,) r f,j k - 7.4- �f'. ,f 70II :C. ADDRESS PHONE NO. NO OF EMPLOYEES Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) E ' ❑ FACILITY CONTACT BUSINESS ID NUMBER 0`' ❑ CORRECT OCCUPANCY (CBC: 401) Consent to Inspect Name /Title ❑K ❑ VERIFICATION OF INVENTORY MATERIALS Section 1: Business Plan and Inventory Program 0" 'ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS 0 "1 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑'r ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) E ' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 0`' ❑ CORRECT OCCUPANCY (CBC: 401) ❑K ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0' ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0" ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑' ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 0'' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ©r ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑` ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 0-" ❑ HOUSEKEEPING (CFC: 304.1) ❑'" ❑ FIRE PROTECTION (CFC: 903 & 906) ❑'" ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) / ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature ofReceipt UIQ � Explain: POST INSPUC'FION INS I' RUCTIONS: • 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 N Street, California 93301 Signature (that all violations have been corrected as noted) Date White — Business Copy I Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)