HomeMy WebLinkAboutUPI CHECKLIST (2)BAKERSFIELD FIRE DEPT.
Prevention ServicesaAUNIFIEDPROGRAMINSPECTIONCHECKLIST2101HStreet
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Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO.OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
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onsent to Inspect Name /Title
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) I` `" I.
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M" HOUSEKEEPING (CFC: 304.1)"2t:"1 at iFt.3S Gr G. vi t
FIRE PROTECTION (CFC: 903 & 906) ' { c:,t /r k!5 f PAS d>uIiE_ Gt-
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9/ SITE DIAGRAM ADEQUATE & ON HAND , (CCR: 2729.2 (3)) t- -- *,-,c P t4a "t l
ANY HAZARDOUS -WASTE ON SITE? YES NO
Explain: JC) 4- ./4 01t7 Ffe_DA,%- 5 ?1tl fZtuC E --T Si nature Receipt
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POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: A1,3 I r+Utry. t '=a - €
Correct the violation(s) noted above by 1, Signature (that all violations have been corrected as noted)
Within 5 days ofcorrecting all of the violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Business Copy tobeSent in afterreturnto Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
I ROUTINE COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
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C =Compliance OPERATION CCOMMENTS
V= Violation
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
19" CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
9 III 1
C VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
t. VERIFICATION OF QUANTITIES (CCR: 2729.4)
E VERIFICATION OF LOCATION (CCR: 2729.2)
B" PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
0,'/ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
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El I ' VERIFICATION OF HAZ MAT TRAINING' (CCR: 2732) ; t 61 IIQ