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8650 HAGEMAN ROAD (2)
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program /,. • . B B R S F I L 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 Cl,.l✓ v3p-re- c_ C 3k -, L - ec) t' INSPECTION DATE INSPECTION TIME ADDRESS 6 S cD PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title Section 1: Business Plan and Inventory Program C9V ROUTINE ❑•' COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance . OPERATION V= Violation COMMENTS ❑ dQ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) <Sb, ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 0 E3 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) �,� LU ❑ CORRECT OCCUPANCY (CBC: 401) ®j ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) JAI ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) - ©) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ba ❑ PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 1):) ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Ebb ❑ VERIFICATION OF ABATEMENT SUPPLIES.& PROCEDURES (CCR: 2731(c)) Ida ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) d ❑ 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: 27291) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si atu ai ecei t Explain: POS "I' INSPECIFION INS'FRUC'1'I0NS: • Correct the violation(s) noted above by & .J 2 0,191 C A. Signs a (that all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign and return a copy of this page to: 1 ` Bakersfield. Fire Dept., Prevention Services, 2101 H Street, California 93301 1 l 1 Date White — Business Copy . Yellow— Business Copy to be Sent in after return to Compliance Pink — Prevention Services Copy FD2155 (Rev 61/10)