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Home My WebLink About6101 BUENA VISTA ROAD_HMBP 1.3.11BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST "RT 2101 H Street Bakersfield, CA 93301 SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME Z0 ; Section 1. Busllness P,I and In�elntory Program ADDRESS PHONE NO. NO OF EMPLOYEES 61 al FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title l 4 3° "st s: _ ; Section 1. Busllness P,I and In�elntory Program ❑ x.' a (BMC: 15.65.080) ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v c C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC:401) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) �92 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) N CG 42 S ❑ ❑ 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) w R ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ 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 ❑ NO Sie atureofReceipt Explain: `' �.'i C_ 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 White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance —.J gnature (that all violations have been corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) d 4 UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program • Bj B R S F 1_ 1_D FIRE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V �-r\ zvti W��e �°� s INSPECTION DATE 1 131 I f INSPECTION TIME ADDRESS 61 C-) I } PHONE NO. NO OF EMPLOYEES FACILITY CONTACT (BMC: 15.65.080) 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) ❑ ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ t '❑ CORRECT OCCUPANCY (CBC:401) ' ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) E�14 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) d S ❑ ❑ 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) - ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ 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 ❑ NO SienatureofReceipt 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 White — 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 FD2155 (Rev 600) UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B. i E R S F I 0 1. D FIRE ARTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301. Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME` V q r, °� u� { ! p S s INSPECTION DATE 1 131 1( INSPECTION TIME ADDRESS 6 1 x 1 ' 1 {� I Svc ra t q mot+ PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) Section 1: Business Plan and Inventory Program 9 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) ❑ ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ CORRECT OCCUPANCY (CBC:401) ` ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑10 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) d PJ V ra d S ❑ ❑ 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) 1 ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34((7, CFC: 2703.5) `6 ❑ HOUSEKEEPING (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO SienatureofRecei Explain: t, 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 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] 0)