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4580 CALIFORNIA AVENUE_HMBP 6.22.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1:. Business Plan and Inventory Program B ER S F I E L D .FIRE D , ARTMF,,fT BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPE TION ATE OF, 122-1 t j IN ECTION TIME ,vt (N e ADDRESS A 5v O n ve PH¢5 NO F � OYEES �O FACILITY CONTACI BUSINESS IDN,MB OO 1_A3 - V/ \ L _ Consent to Inspec XNI'Re le -M/-�- l- ` i❑ l Section 1: Business Plan and Inventory Program 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) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) i❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC:401) ❑V�❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 0<�111__] VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) `❑� 11 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ D VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ j ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) �l D �° CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING, (CFC: 304.1) '❑�❑ FIRE PROTECTION (CFC: 903 & 906) D ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY, HAZARDOUS WASTE ON SITE? ES ❑ NO Signature ofRece 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 While — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date s Pink — Prevention Services Copy FD2155 (Rev 6//10) r