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HMBP 2018
BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM' INSPECTION CHECKLISTalARTM 2101 H Street {;; {:f... v.....v...:.v..: n:v: :::.::;...:•.v;y::.: y:':" ....: .......... .....m .v . :nw...:............ N.en..n.:r.. ..... ..:..,.w .. ..:. ..........:. n::...n... .... .. .... .:w....... .. .i ...::. ::.:...:Y..:.::.....:...«.n.nv `::Ifi� e'lL.:..:: : Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program Tel. (661> 326 -3979 Fax: (661) 852 -2171 FACILITY NAME V ( C= Compliance) OPERATION V= Violation INSPECTION DATE INSPECTION TIME a,.❑' f I VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ADDRESS > JJ as APPROPRIATE PERMIT ON HAND PHONE NO. NO OF EMPLOYEES r"' FACILITY CONTACT ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) BUSINESS ID NUMBER .,E:f ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR'2729.1) Iw ❑ Consent to Inspect Name /Title (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) :!.i ii i:.iii:9:W:.v::. �:::::::::.v::.i :.:.iv:::.iii:•i':•. ii ii i::!.i:.i ii:4iiiiii:•. ".:' '. .. :::.. ::.M'.i iii: .. > : >: .. rAl ROUTINE ❑ COMBINED 0 JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C= Compliance) OPERATION V= Violation COMMENTS a,.❑' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) -0' ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) .,E:f ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR'2729.1) Iw ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 12' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) �7 ❑ 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 (CFC: 903 & 906) 0' ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES Zl NO Explain: i nature of ee'ei t: ""A mow..*" ° POS1' 1NSYLi'(:TIOIN 1.M KUU11V1Nb JULM 1cm1 Uacly -lv -� vlvirL�i�� m: • 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 ignature (that a vio ations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14)