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503 ESPEE_HMBP 3.16.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program FACILITY NAME BAKERSFIELD FIRE DEPT. ' Prevention Services B_ B R 5_F _I 1__0 FIRE 2101 H Street ARTM r Bakersfield, CA 93301 NO OF EMPLOYEES Tel.: (661) 326 -3979 BUSINEESSIDD NUMBER Fax: (661) 852 -2171 FACILITY NAME INSPE CTION ATE INSPECTION TIME COMMENTS ❑— ❑ APPROPRIATE PERMIT ON HAND ADDRESS J 9ONE NO. 937-7. '2 NO OF EMPLOYEES FACILITY CONTACT BUSINEESSIDD NUMBER / - Qom❑ Consent to Inspect Name /Title ft"V A' 'Sect on"1 BuslnessPla' and Inventrogram', "t ' t 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) ET / ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Qom❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 9 -_0 CORRECT OCCUPANCY (CBC: 401) —� VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) E ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) l'❑ VERIFICATION OF LOCATION (CCR: 2729.2) ©-__❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) El El VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) L7 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ - SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES Signature of Receipt Explain: POST INSPEC'ION INS7"RUCIIONS: • 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 after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6H 10)