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3929 MING AVENUE_HMBP 5.14.11
UNIFIED PROGRA BAKERSFIELD FIRE DEPT. Prevention Services ,B_ F._R S_.F__i B _ D INSPECTION CHECKLIST -FI,E 2101 x street o - aRrM Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME -�� r P� INSPECTION DATE S -N -11 INSPECTION TIME 0, :,,. . �;t �- (BMC: 15.65.080) C) ADDRESS Business PLAN CONTACT INFORMATION ACCURATE PHONE NO. NO OF EMPLOYEES ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) FACILITY CONTACT r� i CORRECT OCCUPANCY BUSINESS ID NUMBER G t rvcJd� Iq c"o'c" c,- VERIFICATION OF INVENTORY MATERIALS Consent to Inspect Name /Title (R. ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) R Section 1: Business Plan and Inventory Program O� 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) ©� ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 'SL ❑ CORRECT OCCUPANCY (CBC: 401) 1- ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) (R. ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 3- ❑ VERIFICATION OFLOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 91a. ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) t Y ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 'Ce-` ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 194 HOUSEKEEPING (CFC: 304.1) IN 1:1 rL.JI� FIRE PROTECTION (CFC: 903 & 906) � i-�'je &44 t'ASu• � 0 e, W c. I r e t r r. 111 Irz t'n b4c k o f S 17-f ' �. ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? 12j-YES ❑ NO Signature ofReceipIt Explain: POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by -3Iln 00 141, X6) 1 • 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 White — Business Copy Yellow— Business Copy to be Sent in after return to Compliance Slgna ure ( hat f o a leas -hav oen.p ected-as noted) �,,- /-7 it Date Pink — Prevention Services Copy FD2155 (Rev 6H10)