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Home My WebLink About106 E White Insp'sUNIFIED PROGRAM INSPECTION, CHECKLIST SECTION 1: Hazardous Materials Business Plan Inenection BA Prevention Se FIRE DEPT. Prevention Services 9 a L I ° 2101 H Street .AI RI Balcusfield, CA 93301 Tel.: (661) 326-3979 Fax: (661)852-2171 f FACILITY NAME s INSPECTIDN DATE INSPECTION TIME ADDRESS PHONE NO. 0 O EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER nssnt to Inspect NameTtle APPROPRIATE PERMIT ON HANG BMC: 15.65.060 Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION C V °In OPERATION CERS V_Vmleuon:I.11Min. Violation COMMENT x APPROPRIATE PERMIT ON HANG BMC: 15.65.060 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2/29.1) 1010008 I i VISIBLE ADDRESS (CFC: 505.1, BMC: 1652.020) CORRECT OCCUPANCY VERIFICATION OF INVENTORY MATEBWLS (CCR: 2]29.3) 1010004 \� VERIFICATIDNOFCUANfITIES (CCR: 2]29.4) 1010008 L VERIFICKHONOFLOCATION (CCR12729.2) PROPER SEGREGATION OF MATERIAL (CF10:2704.1) / k i VERIFICATION OF SDS AVAILABILITY (CCR: VO)A9)(b)) / r, � / VERIFICATION OF HAZ MAT TRAINING (CCR: 2232) loattI2 VERIFK:ATONOFABATEMENTSUP UU&PROCEDURES (CCR:V31(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: MI) 1010010 - C _ CONTAINERS PROPERLY LABELED (CCR: 86262.34(0. CFC: 21035) So(0)7 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 9038906) 39300.92 SITE DIAGRAM ADEQUATE B ON RAND (CCR: 2]2).2) 1010005 NV HAZARDOUS WASTE ON SITE? ❑ YES Ltr NO meopurefReccipt aplain: Inspection POST INSPECTION DNSrRUCTIONS: • Comet the viola ion(s) noted above by • Winne 5 Jaye of correcting all of the violations, eigrt and schen a copy of this page to: Baketefield Fee Dept., Prevention SeMcca, 2101 H Street, California 93301 Signaete (the all violneions have been cottected as voted) Dare White -Business Copy Yellow -SM. Copy Pick- Pscvevtien Services FD2155(Rev 8//14) &F - 'RX i�J �/ CIE BAKERSFIELD FIRE DEPT. I Prevention, Services i `D B E R'S F I'�' 21011-1 Street UNIFIED PROGRAM INSPECTION CHECKLIST .IR>1g Bakersfield, CA 93301 i ART At Tel.: (661) 326 -3979 Fax: 852 =2171 (661) ' Materials Business Plan SECTION 1. Hazardous 3 Ins ion 4 "FACILITY NAME INSPECTION DATE INSPECTION TIME S1 1 (,L ...- PHONE NO. NO OF EMPLOYEES' ADDRESS »�- �. ,•�" \® USINESS'ID NUMBER FACILITY CONTACT r Consent to Inspect Name/Title ;:; :: IN .. ' . 3a r ,: � ,: ft S"t .1...:...: ", ,. -El/ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V _ ompiance OPERATION CERS COMMENT V= Violation; 1,11 Minor Violation 3010001 APPROPRIATE PERMIT, ON HAND (BMC:15.65.080) BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 ; VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ' CORRECT OCCUPANCY (CBC:401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3), 1010004 1010006 xyY;. ; VERIFICATION OF QUANTITIES (CCR: 2729.4) S4 VERIFICATION OF LOCATION (CCR:,2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) 1020002 VERIFICATION OF HAZ, MAT TRAINING (CCR: 2732) r, VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) 1010010 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 3030007 CONTAINERS PROPERLY LABELED (CCR: 66262:34(f), CFC: 2703.5) HOUSEKEEPING (CFC: 304.1) f 3030032 FIRE PROTECTION (CFC: 903 & 906) g SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729:2) 4�M 1010005 .. ,� ANY HAZARDOUS WASTE ON SITE? ❑YES CJ�NO i nature of Recei t ,......^"""° Explain: � m �.. Inspector: POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) - • Within 5 days of correcting Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White - Business Copy Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8//14) (VIU8 naU SSiZQ.d 91RU (palou su Moauoo uaaq anuq suouulozn llu jegj) anusugTS saou►aaS uorIuanaad —d kdoO uoumS - nnollaX AdoO ssautsng — altq� IO££6 131MOR83 `a00-US H IOIZ `SOOL OS UODUQnazd °'IdaQ an3 PIagsiaW :ol a8ud sup jo Ado3 u uimoi pue u81s `suopulou aqj ;o IM 8upoauoa ;o sAup S uW At Aq anoqu polou (s)uouuloin aq1 joomoO • :SxoL1LzlnHlSN3 MOLMUSNU ssod NO1103dSN1-MJ ❑ lNIHIdINOO ❑ A0N3E)v- I1lf1W ❑ AON30VIN10(' ❑ 43N18W00 ❑ 3NI1mj :uleldx ai;lLaweN loodsul of luesuo .a" ±? 1- �'t .f.� •.ibY'v � ^� waxjoa i5eu t ON ❑ S3A ❑ L311S NO 3lsvm snoaadZdH AN V 5000 LO 1 (Z'63/-3 :800) aNVH NO V 31`dfla3od mmovla 3115 133snm aI SS3NIsne om:aa mij Q'IzI3summa ,,^^ .«M'�� s..44 �,.•�+, «.7 '�, '^ ye'"`^'.,� '� s rr ! , k ^�.. `�'ry�` g�... bi.. �4VO40G . 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CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 x d` VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) ,t i VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) Y4 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) r' EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 F` SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑t NO Signature ofRecei t Explain: Inspector: `. _ • `' _.. POST INSPECTION INSTRUCTIONS: • Correct the violation(s) noted above by - f 0 Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) j Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)