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505 COLUMBUS STREET_HMBP 6.1.11
BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST. E FIRE FI o 2101.H Street v aRr� Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program. 4ft* Tel.: (661) 326 -39.79 Fax: (661) 852 -2171 FACILITY NAME l:Ot�w� Tom..^,. �-1 INSP CTI N DATE to INSPECTION TIME ADDRESS GOS \4� (� . 0 0,,_�004jZ. PHONE NO. 32Z -13 ©o NO OF EMPLOYEES 7 FACILITY CONTACT BUSINESS ID NUMBER loo 2-,A -7 35 Consent to Inspect Name /Title U*ca-cc` 9 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 / ffl ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ®0- ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729:1) M" ❑ VISIBLE ADDRESS. (CFC: 505.1, BMC: 15.52.020) LW- ❑ CORRECT OCCUPANCY (CBC:401) 0- ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ll/ El VERIFICATION OF LOCATION (CCR: 2729.2) OR ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) (>T"' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) &K ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) LK ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) I� ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) le ❑ HOUSEKEEPING (CFC: 304.1) R ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) % ANY HAZARDOUS WASTE ON SITE. 9YES ❑ NO Signature of Receipt Explain: POS•r INSPEC7•ION 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 White — Business Copy Yellow — Business Copy to be Sent in a0er return to Compliance j Signature (that all violations have been correcfed as noted) Date Pink Jrevention Services Copy FD2155 (Rev 6//10)