HomeMy WebLinkAbout2600 WHITE LN (3)BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST ` rARTH : ...' 2101.H Street
f Bakersfield, CA 9330 1
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 ;
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
• 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)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
COMMENTS
V= Violation
'
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
0
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
El,
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
91,
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
Ell
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL (CFO: 5004.1)
0
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
a,
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
a
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
D
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑.
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING (CFC: 304.1)
21
❑
FIRE PROTECTION (CFC: 903 & 906)
I1.
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES I KINO
Explain:
i nature of Receipt:
POST
INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)