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HomeMy WebLinkAboutUPI CHECKLIST (2)UNIFIED PROGRAM INSPECTION CHECKLIST F ^'.• A..._ ......... ,._S F.,F, n FIRE i'r...::.: }'F.; `.iy :.•:.v:v:.}iYi:.}:.nFV, v:.v:::: nv.: } .... ^:::: ... Nd'S •'.v:v ni3.i:.. Sv n}...v...iJ:Y,.:'l,.n:• :::..... v:J.f}:v: .i S X .n:•'li,:.....:.:.:: Y::kSS"•'.,• . ».• Haz-Mat Business Plan and Inventory Program >> FACILITY NAME INSPECT BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street 301Bakersfield, CA 93 Tel.: (661) 326 -3979 Fax: (661) 852 - 2171 TION DATE INSPECTION TIME 11.1... 1.. ....... .................Qk ....... Msi .lt`11.a.E ...s ........ s ...................................... ............................... ........... Inc. . .... ............... ROUTINE CZ»A''COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION C V ADDRESS , PHONE NO., NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) APPROPRIATE PERMIT ON HAND. BMC: 15.65.080) Consent to Inspecc.!,Wame /Title CERS UPDATED FOR THE CURRENT CALENDAR YEAR H &S 25404(e) 11.1... 1.. ....... .................Qk ....... Msi .lt`11.a.E ...s ........ s ...................................... ............................... ........... Inc. . .... ............... ROUTINE CZ»A''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) BUSINESS PLAN CONTACT INFORMATION ACCURATE CCR: 2729.1) L VERIFICATION OF. INVENTORY MATERIALS CCR: 2729.3) VERIFICATION OF QUANTITIES CCR: 2729.4) VERIFICATION OF LOCATION CCR: 2729.2) PROPER SEGREGATION OF MATERIAL . CFC: 5004.1) J S1--_1E1 SAFETY DATA SHEET AVAILABILITY CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING. CCR: 2732) VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) EMERGENCY PROCEDURES ADEQUATE CCR: 2731) r CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) f 0 HOUSEKEEPING CFC: 304.1) FIRE PROTECTION CFC: 903 & 906) SITE DIAGRAM ADEQUATE & ON HAND CCR: 2729.2(3)) ANY HAZARDOUS WASTE ON SITE ?,, , ®'YES NO Explain: i nature ofReceipt. rUJI 1N6r-LI 11ViN LINDi1CU1.11V1Va r Vlx A vim._, 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 afterreturn to Compliance Signature (that all violations have been corrected as not) Date Pink Prevention Services Copy FD2155 (Rev 1/14)