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HomeMy WebLinkAboutUPI CHECKLIST (2)BAKERSFIELD FIRE DEPT. Prevention Ser'vices F R F !� - D Ff...§S F I UNIFIED PROGRAM INSPECTION CHECKLIST.1'.," 2101 H Street rRFN FIRE • A R T Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979 Fax: .(6,61) 852-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OFEMPLOYEES /\j I u /\j FACILITY CONTACT BUSINESS ID NUMBER AVj cl? c20 F Consent to Ip ect N T itle X _:X ....... :X. 1* M lxxx:`i*�. XX X X., . ....... . ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY .❑ COMPLAINT ❑ RE.-INSPECTION. C v r C=Compliance) OPERATION 'COMMENTS V=Violation VISIBLE ADDRESS (CFO: 5,05.1, BMC: 15.52.020) 'Jl ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) P _76' C451? El BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2720.1) ❑ VERIFICATION OF INVENTORY MATERIALS (OCR: 27129.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 11 VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 51004.1) ,,E] 'El SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) 1].-, 1771 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 1:1 HOUSEKEEPING (CFC: 304A) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)), ANY HAZARDOUS WASTE ON SITE? ❑ YES. O NO Explain: Signature of Receipt:. we /1 POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: ,. • Correct the violation(s) noted above by [7 Signature (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 Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev. 1114)