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4701 WIBLE ROAD_HMBP 5.25.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program loffR S F I$ 1. D FIRE ARTM r � BAKERSFIELD .FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301'' Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ir• _ f �C,j`lG INSPECTION DATE INSPECTION TIME ADDRESS "j PHONE NO. NO OF EMPLOYEES FACILITY CONTACT jj BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program © ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance OPERATION V= Violation COMMENTS 0\ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 13�,❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) [J— ❑ CORRECT OCCUPANCY (CBC: 401) 0— ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ,0— ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 9' —❑ VERIFICATION OF LOCATION (CCR: 2729.2) '0- ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑" ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) el ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑O � , ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) O� ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 151,.❑ HOUSEKEEPING (CFC: 304.1) fly. ❑ FIRE PROTECTION (CFC: 903 & 906) ©'❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) = ANY HAZARDOUS WASTE ON SITE? ❑ YES i NO Signature of Receipt j % -(" •yG Explain: POST INSPUC'FION INS'FRUCI'IONS: • 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 Pink — Prevention Services Copy PD2155 (Rev 6 / /l0)