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HomeMy WebLinkAboutHMRRP 2017' BAKERSFIELD FIRE DEPT. Prevention Services F R S F UNIFIED PROGRAM INSPECTION CHECKLIST r R.... -'_1. ` A FIRE' 2101 H Street vY4'•: 4:N... -}.. ;5.y,.u?'f ?' ^ ?tii•? +, } ? }r:N'^ SA}:N •JJ:•n h +•1 YJ'+ r'4» ....�...J.•: CC?: .. ::Jv } ..... ..:....................n. n...... n.... e':H:.n. n n. }k'C'..':J n v.. ;•:v: y,.: }: +un. <n:, x.�xu i'. •::J..:n,v,:vn' .l:'. .. "' ^" :.JG: i'} ...n..... .... . \. Bakersfield; CA 93301 Haz -Mat Business Plan and Inventory Program k Tel.: (661) 326- 3979 Fax: (661) 852 - 2171 FACILITY NAME .::: :::: :::. �:::::::::::::::::::::::::: :::::: :::::.:::::.::::.:::.: ::: ::: ::: : ::::. � :::::. }'::. }:v; !:::: ::::::::: :::::::.. �::: :: ::... ::..:: ::::.::.::! :.,::: i:::,:.:... ::! :..:: �:: ? } }•::. }::,. ;:: n: }•.: }'.::.::.:'..:..: .:...:........ INSPECTION DATE INSPECTION TIME COMMENTS „ ❑ VISIBLE ADDRESS (CFC; 505.1, B C;15.52.020) ADDRESS ❑ PHONE NO: NO OF EMPLOYEES } }g i ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR FACILITY CONTACT (H &S 25404(e) BUSINESS ID.NUMB•ER ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE v `.,e f✓ ij 1 Consent to.,l /Title {dypnspectjName VERIFICATION OF INVENTORY MATERIALS }.:}}}}}} } }: } } } } } } } } } }; } } } }: } ?:• } }:. } } }? i? } ?:•: } ?:: } } ?? }? i } } } } }:•? }} i} k}; y}}}}}} i}} y;.J::•} ::• }::. }Y }::.:Y } ? }:;• ?:;. } } }:: .? } } ?k:<: ? ?:: ?Y::4k ?:•: `::':• }:: ?:' }::: }: " } } } } }? } }: }: } }: }? } } }::. }::: }: }:: }::.. <w: ;• }::: } :::::::::::::. .::: :::: :::. �:::::::::::::::::::::::::: :::::: :::::.:::::.::::.:::.: ::: ::: ::: : ::::. � :::::. }'::. }:v; !:::: ::::::::: :::::::.. �::: :: ::... ::..:: ::::.::.::! :.,::: i:::,:.:... ::! :..:: �:: ? } }•::. }::,. ;:: n: }•.: }'.::.::.:'..:..: .:...:........ ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V l C= Compliance OPERATION V= Violation COMMENTS „ ❑ VISIBLE ADDRESS (CFC; 505.1, B C;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) `( ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) El PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY. (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ.MAT TRAINING (CCR: 2732) u ❑ 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 (C C: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2(3)). ANY HAZARDOUS WASTE ON SITE? ❑ YES s NO Explain: . . Sig nature of Receipt: '! � :� f �F rP � i .` ;;r1�4. ! 4w. h kv+..' �.N.fL ,�...:M1........:..• POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • . Correct the violation(s) noted above by 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)