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Home My WebLink AboutHMBP 2018UNIFIED PROGRAM INSPECTION CHECKLIST Haz -Mat Business Plan and Inventory Program FACILITY NAME V INSPECTION DATE INSPECTION TIME 21k r� d ,n I,p- . ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ADDRESS 11 PHONE NO. NO OF EMPLOYEES (BMC: 15.65.080) E . ❑ FACILITY CONTACT ' BUSINESS ID NUMBER El ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) t Consent to Inspect Name /Title ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑" ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( u= uompuance) OPERATION V =Violation (CCR: 2731) COMMENTS I,p- . ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) 11 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) E . ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) El ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) t 2' ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) jP ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 2 ❑ 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)) i .N Explain: Signature of Recei tr 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 Sig6''t re "(that all violatiohs�,have -been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) Er ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ET ❑ HOUSEKEEPING (CFC: 304.1) E . ❑ FIRE PROTECTION (CFC: 903 & 906) El ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ©` NO i .N Explain: Signature of Recei tr 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 Sig6''t re "(that all violatiohs�,have -been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)