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4605 PLANZ ROAD_HMBP 5.19.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B 1' E R S F I Q L D FIRE D ARM , T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Pe v INSPECTION DATE 111 -f ! INSPECTION TIME . n ADDRESS IM00� pia n VA. PHONE NO ` 5L -- NO OF EMPLOYEES 0- -S 0 FACILITY CONTACT BUSINESS ID NUMBER ❑ f (CCR: 2729.1) Consent to Inspect Name /Title J -Cg-- ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) t2'- u J Section 1: Business Plan and Inventory Program C© '-ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑' RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS 0L ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) �,. ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) J -Cg-- ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) t2'- ❑ CORRECT OCCUPANCY (CBC: 401) �= ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) tQ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) -8— ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ' B. ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) a®-- ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) 1!5°- ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) tS- ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 04 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0- ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ,12\ ❑ HOUSEKEEPING (CFC: 304.1) 9N,- ❑ FIRE PROTECTION (CFC: 903 & 906) "B© ,, ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? L]-YES ❑ NO Signature of Receipt Explain: tt 14Sr& G, i 4, 4\11 c7G POS'r INSPEC'FION INS'FRUC;'rwNS: • 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 aaer return to Compliance .. Pink — Prevention Services Copy FD2155 (Rev 010)