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6801 WHITE LANE_HMBP 5.13.11
!j UNIFIED PROGRAM, INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B 1 E R S F I E'\ D - FIRE- D ARTMEAIT BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME C= Compliance OPERATION V= Violation INSPECTION DATE 5-1-54141 INSPECTION TIME /C1.50. r APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS AR s; p► C A q3301 PHONE NO. 66 I -Q 2 -(�00 NO OF EMPLOYEES FACILITY CONTACT 9- VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER ❑- ❑ \1Q501Q C r 0 ix (CBC:401) M ❑ Consent to Inspect NaT itle (CCR: 2729.3) L Z k?r� i VERIFICATION OF QUANTITIES (CCR: 2729.4) Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑1 [D:; APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ( ❑ a.4.1... r Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ) Fib ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑- ❑ CORRECT�OCCUPANCY (CBC:401) M ❑ ,VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) [2K Qr 5 "' =pit VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑. VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) oft. ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©\ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) r ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, CFC: 2703.5) ❑' ❑ HOUSEKEEPING (CFC: 304.1) ®, ❑ FIRE PROTECTION (CFC: 903 & 906) i 47 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO Signature ofReceipt Explain: POS•1• INSPECTION INS7'RUCI1UNS: • 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 _ While — Business Copy Yellow — Business Copy to be Sent in after return to Compliance SigLnature.(that all violationve been- corrected as noted) Date Pink — Prevention Services Copy FD2155 (Rev 6//10) �f f l�