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4100 WHITE LANE_HMBP 5.19.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B "SP D AJrrMEl�1 T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE S- j q - i I INSPECTION TIME ✓, IS— ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 'e- , n ADDRESS � I !DO Z-n PHONE 3L j ( NO OF EMPLOYEES 6 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) xa�rJ r,f FACILITY CONTACT (CBC:401) BUSINESS ID NUMBER Consent to Inspect Name /Title / re �� LUG[ •� ; As5�. ✓''t� -,�. �f (CCR: 2729.3) Section 1: Business Plan and Inventory Program te ©L ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS IS— ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) .0_.. ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 04-. ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) -❑ -. ❑ CORRECT OCCUPANCY (CBC:401) 12=- ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f3 -- ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) El•- ❑ VERIFICATION OF LOCATION (CCR: 2729.2) •0, ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ,5— ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©l ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ©� ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) [9 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0— ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5) ©—' ❑ HOUSEKEEPING (CFC: 304.1) .9— ❑ FIRE PROTECTION (CFC: 903 & 906) O', ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ';. ❑ YES 9'N0 Signature ofReceipt Dp Explain: POST INSPECTION INS7'RUC7'IONS: r• 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) 5-111-11 Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 010)