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UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Business Plan and Inventory Program
...BAKERSFIELD FIRE DEPT.
A Prevention Services
B _A I __.r_._R_._S._F._I IE L._p
FIRE 2101 H Street
ARrM , "r Bakersfield, CA 93301
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
L.a'1'
i,,_
ADDRESS QQ
47 93
Tel.: (661) 326 -3979
NO OF EMPLOYEES
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
L.a'1'
i,,_
ADDRESS QQ
47 93
P // HONE NO. /�
kI- 7 - �j / o
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name /Title
CORRECT OCCUPANCY
(CBC: 401)
i U liv n rc
EIN ❑
VERIFICATION OF INVENTORY MATERIALS
r
Section 1: Business Plan and Inventory Program
EK ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C ; v
:;
( C= Compliance OPERATION
V= Violation
COMMENTS
k ❑
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)
EIN ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
E jt+ ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
ON ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0/ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
I�4. ❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
EV, ❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
5! ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
❑
HOUSEKEEPING
(CFC: 304.1)
•'r
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑/ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
—Signature o ecei t
Explain:
\J
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
– z--.
Sig re (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 6//10)