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4115 BUCK OWENS_HMBP 6.13.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program s e a j;TE F/ gFAR BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME'— INSPfEC^TII /ON DATE INSPECTION TIME ADDRESS PHONE NO. NO OF � PLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program (flZ�ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v \ C= Compliance , OPERATION V= Violation COMMENTS ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ [97 BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) �.LjJ ��C �1 C cP's [) ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) X07 ❑ CORRECT OCCUPANCY (CBC:401) �A ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 1j4 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) "'21 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ ©"' VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT &U�VL��y& PROCEDURES (CCR: 2731(c)) ❑ ❑•cq EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) [5' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑o ❑ HOUSEKEEPING (CFC: 304.1) E�° ❑ FIRE PROTECTION (CFC: 903 & 906) !' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature ofRecei ! ,p Jt� a"Zi Explain: �^ r_..Q_'ai' ✓ 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)