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7900 WHITE LANE_HMBP 5.13.11
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B Af F. R S F I.0 L D FIRE 04. f BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAM ( C= Compliance OPERATION V= Violation INSPECTION DATE INSPECTION TIME ADDRESS �0 �� �;�� 93 PHONIE NO. 661- 9)3001 NO OF ENLPLOYEES e_c VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) a FACILITY CONTACT CORRECT OCCUPANCY (CBC: 401) BUSINESS ID NUMBER t' Uq -7q (CCR: 2729.3) Consent to Inspect Name /Title j 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 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) L�J ❑ BUSIneSS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 04 Cl VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) a ©� ❑ CORRECT OCCUPANCY (CBC: 401) 5Z ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) yXt, ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ©X ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) (�K ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) OS ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) b!C ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑� ❑ FIRE PROTECTION (CFC: 903 & 906) 0* ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑eNo Sipznatureof,Receipt 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) s -13-1 J Date Pink — Prevention Services Copy FD2155 (Rev 6//10)