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4150 MEXICALI DRIVE_HMBP 5.26.11
BAKERSFIELD FIRE DEPT. A Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R -5 P "9 ° 2101 H Street FIRE ARTM 1' T Bakersfield, CA 93301 SECTION-1—'Business Plan and Inventory Program v� Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v INSPECTION DATE INSPECTION TIME COMMENTS ❑ ❑ APPROPRIATE PERMIT'ON HAND ADDRESS �; PHONE NO. 31 ffa NO OF EMPLOYEES Xi 1 93309 G6!' LA' FACILITY CONTA T _ BUSINE5S"ID`N1:11vIBER ❑) ❑ CORRECT OCCUPANCY Consent to Inspect Name /Title CVi 15e i fIm VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Section 1: Business Plan and Inventory Program ©6 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) Q> ❑ BUSI11eSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) LA' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑) ❑ CORRECT OCCUPANCY (CBC:401) 15e ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) E ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 1:3, ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 0� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) Do ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑� ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) IT ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(q, CFC: 2703.5) Or ❑ HOUSEKEEPING (CFC: 304.1) ❑l. ❑ FIRE PROTECTION (CFC: 903 & 906) 3> ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO Signature of Receipt Explain: o; I 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 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6H 10) �w