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5151 MING AVENUE_HMBP 5.10.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory. Program n f0f)PA S P I E I. D RE TM T BA KERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME r10 INSPECTION DATE 5-iU_I1 INSPECTION TIME &�,•A.. e s (©�- ❑ APPROPRIATE PERMIT ON HAND ADDRESS 615 rf-v nc, Ale E . Cct. q�5� PHONE NO. Gas`(- r.1►y NO OF El)dPLOYEES � FACILITY CONTACT Dore. (e.Q Z Aot"t, 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 (©�- ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) C&_ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) (0"—❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) , - E] CORRECT OCCUPANCY (CBC: 401) 2-., ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) t©" ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) Q_. ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) c�� ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ®e__ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) .El-,, ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0K, ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) �❑'` ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) Ele-• ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑YES O Signature ofReceipt ]— '( . 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 L� 4/_� Signature (that all violations have been corrected as noted) Date While — Business Copy Yellow — .Business Copy to be Sent in aRer return to Compliance Pink — Prevention Services Copy FD2155 (Rev 6//10)