HomeMy WebLinkAboutUPI CHECKLISTaAA
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST A
2101 HStreet
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -397.9
A; Fax: (661) 852 -2171
FACILITY NAME INSPECTIO DATE INSPECTION TIME
11121
M.
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ROUTINE,,,' COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
C V ( G= Compliance) OPERATION COMMENTS
V= Violation
0 . VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
L
ADDRESS PHONE NO.. NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
FACILITY CONTACT BUSINESS ID NUMBER
VERIFICATION OF LOCATION (CCR: 2729.2)
onGen.to inspect Nam itle
SAFETY DATA SHEET AVAILABILITY (CCR: 2729:2(3)(b))
M.
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ROUTINE,,,' COMBINED JOINT AGENCY MULTI- AGENCY COMPLAINT RE- INSPECTION
Correct the violation(s) noted above by ' d 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 PD2155 (Rev V14)
C V ( G= Compliance) OPERATION COMMENTS
V= Violation
0 . 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)
7F_ C95e-S
Cde UG-
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729:3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
2`10 PROPER SEGREGATION OF MATERIAL (CFC: 5004:1)
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)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ErYES,, NO
Explain.
4, ft 9'? o l4'
i nat e ffteipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
Correct the violation(s) noted above by ' d 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 PD2155 (Rev V14)