HomeMy WebLinkAboutUPI CHECKLIST 1-20-15BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 11"I A::.. F...R...s F.:.. `'" 2101 H Street
.:.,:
FIRE
:•v,}C: n:1iX•:
».w.n..:hm.:x u.n.n, , : x.v. ....•. .n. ...ii �'33'. 7; }:� r ;:1:3, a}:?:�:ti:i:
.... ::;.:..: . �.. �.r..,:.:,..: ..:.: <,......,n.:.v....:.:..... ;.. .... Bakersfield; CA 93301
Haz -Mat Business Plan and Inventory Program 141@F1 Tel.: (661) 326 -3979
Fax: (661) 852- 2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
00
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Cons fntito Ins ect N me /Titl
K ..
z :.:u:: ai. �Ila'� flu: �� � >PI:..i�ia>1�..... nu...........P� � � ............... ...............................
El. ROUTINE El COMB i:::::.,.<. El JO INT AY ❑MUCTI- AGENCY❑ COMPLAINT ❑ RE-INSPECTION
: :::::::.:
` AGENCY
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
C
V
C= Compliance) OPERATION
V= Violation
(CCR: 2729.2(3)(b))
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CCR: 2732)
'❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
,p''
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
(CCR: 66262.34 (f); CFC: 5003.5)
/0
❑
VERIFICATION, OF INVENTORY MATERIALS
(CCR: 2729.3)
(CFC: 304.1)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
(CFC: 903 & 906)
n
vFRiPir.AT1nn1 nF i nr.ATinN
P1
(CCR:. 2729.2 (3))
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
J
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
,® ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
/0 ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR :2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
,,,B ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR:. 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? QY-ES ❑ NO r,
Explain:
Si nature of Receipt: Z
C..: ,v . i J�-�. /f`� / IJ/h,
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:'' '' r
Correct the violation(s) noted above by 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 1/14)