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4700 GOSFORD ROAD_HMBP 6.3.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECCTI0NA: - Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services E I E R S F t ESL D F /RE 2101H Street D ARTME\IfL— Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME c C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME M APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS 4-700 Gos arj Q3 313 Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) PHONE NO. NO OF EMPLOYEES ) tb FACILITY CONTAC G (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER El' ❑ C„ (CBC:401) fjZ I -- 66 Zboo Consent to Inspect Name /Title VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES Section 1: Business Plan and Inventory"Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS t�k' ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) LI ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ©/ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) El' ❑ CORRECT OCCUPANCY (CBC:401) L'S ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) `C1. ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) S// ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ / CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑/�( ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ,Q)k ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES X? NO Sianature/ot Receipt 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 Z i Signature (that all violations 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 6H10)