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4500 GOSFORD ROAD_HMBP 4.21.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program H A G R s F I iE L D FIRE d ARM r BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME " ! v INSPECTION DATE INSPECTION TIME 0' ce ❑ f~-Z1 -11 14Z2- ADDRESS j� �l f+ I ,50 PHONE NO. NO OF EMPLOYEES FACILITY CONTACT 1& .3 BUSINESS ID NUMBER [IS �So t, 0' V 0 G G 1- 3 3 ^ !4- I 13,E Consent to Inspect Name /Title 1G►r CORRECT OCCUPANCY (CBC:401) - L "jA ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Section 1: Business Plan and Inventory Program 5 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance) OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT, ON HAND (BMC: 15.65.080) 0: ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) [IS ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 13,E ❑ CORRECT OCCUPANCY (CBC:401) - EY ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ©`j ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) Eij' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 6K ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) El ❑C VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) J`i i I, �4:4) i & �- Q5 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Epj ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ r HOUSEKEEPING (CFC: 304.1) C��CaN t0 ❑ Ed> FIRE PROTECTION (CFC: 903 & 906) `5 °1 Ens ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? 01-YES ❑ NO Signature ofReceipt` Explain: L� jj � , -`k 0 V /r..�,, 1 POS "I' INSPECTION INSTRUCI70NS: • Correct the violation(s) noted above by 9 Q V, ° 2 • Within 5 days of correcting a117 of the violations, sign and return /a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signatu (that all violations have been correcte s noted) Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)