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Home My WebLink About4817 CENTENNIAL PLAZA_HMBP 12.8.10UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B LRS L D T BAKERS FIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 1 (/�� (yQ INSPECTION DATEt INSPECTION TIME 9— / ❑ iP APPROPRIATE PERMIT ON HAND ADDRESS ail G o ou Ai-- PHONE NO. C7 U--) NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER M1,f ❑ VISIBLE ADDRESS Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program 4 ❑ ROUTINE _,[COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS ❑ iP APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ®► Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) W I 6 M1,f ❑ VISIBLE ADDRESS (CFC: 5051, BMC: 15.52.020) Lh ❑ CORRECT OCCUPANCY (CBC: 401) ,N), ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ©a ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) bO ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ' ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) �a ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c)) sd0 'LJ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) �o ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ _,�P FIRE PROTECTION (CFC: 903 & 906) ❑ 9 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Si naturebf //R-,e/Iit,, ., �q,A/G 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 ormybht 60114L Signature (that all violations have been corrected as noted) �l�lll Date White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6010)