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HMBP 5.15.15
BAKERSFIELD FIRE DEPT. :> Prevention Services E R S F t „n rjW UNIFIED PROGRAM INSPECTION CHECKLIST >; F►RE 2101 H Street ,. :`v'' >`':i ;v::i;;.;::ii: +'i ::i }. •::. .:: vi..:•m•nk....:.....: ..... ..........v n.r n :4%:i R; Bakersfield, HaZ Mat Business Plan and Inventory Program Tel.• (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DANE INSPECTION TIME '4 ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER: onsent to knspect Name/Title ... ............... ................................. ........... . ❑ 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) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑Y ❑ VERIFICATION OF INVENTORY MATERIALS (CCR :, 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) �0°f ❑❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) i,�^ ED ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)j ©'p 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) /,L � — ❑'` ❑ HOUSEKEEPING (CFC: 304.1) ,fn ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ . SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? .DYES ❑ NO Explain: i nature of Receipt POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: Correct the violation(s) noted above by U' P 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 FD2155 (Rev 1/14)