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4500 WIBLE ROAD_HMBP 4.12.11
..1 UNIPIEW- PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program _ - BAKERSFIELD FIRE DEPT. Prevention Services B _A ' E..._R-_SF_! B 1 D 2101 H Street F/RE Dt'ARTM T _ Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 . FACILITY NAME g "q '05 � / lv im crr� INSPE /ION / �E INSPECTION TIME ADDRESS ����/ �D PHONE 2 NO OF EMPLOYEES FACILITY CONTACT SO LA 1\,) : - BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program "Q} ROUTINE - ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION ' C v C= Compliance OPERATION V= Violation COMMENTS ^'8 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) —ET ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) -EP ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 'ED.) ❑ CORRECT OCCUPANCY (CBC:401) Egli' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0° ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) a ❑ VERIFICATION OF LOCATION "(CCR: 2729.2) °E� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) Ebb ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) —© ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) E, ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑l ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) "&h ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ "S SITE DIAGRAM ADEQUATE & ON HAND '} (CCR: 2729.2) �..�}� S ►-ice �A►J ANY HAZARDOUS WASTE ON SITE? y,. t9YES ❑ NO SiQnatareofRe- ceipt,) Explain: 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 jv'iillations 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) t�