HomeMy WebLinkAboutUPI CHECKLIST (2)aRr
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101HStreet
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program ; Tel.: (661) 326 -3979
Fax: (661).852 -2171
FACILITY-NAME
C. v C= Compliance OPERATION
V= Violation
INSPECTION DATE .
Z //
INSPEPTION TIME
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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ADDRESS. PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
4— t'ti' t17 t _ Cpl r • -- { C'i
Consent to Inspect Name /Title
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ROUTINE 2- COMBINED JOINT AGENCY El MULTI-AGENCY COMPLAINT El RE- INSPECTION
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)
C. v C= Compliance OPERATION
V= Violation
COMMENTS
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
f;Dh_" CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VERIFICATION OF INVENTORY MATERIALS (CCR,: 2729.3)
VERIFICATION OF QUANTITIES (CCR.: 2729.4)
2 VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
0"' SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
El- VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
I° VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR :2731(c))
l J EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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HOUSEKEEPING (CFC: 304.1)
El .-` FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? /E -]'YES NO.
Explain: -- i nature 6%Recei t:
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)