HomeMy WebLinkAboutHMBP INSP 5.22.15CA
BAKERSFIELD FIRE DEPT.
�J Prevention Services
rARrN F i L D
UNIFIED PROGRAM INSPECTIO EC LIST 2101 H Street
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
'K.,. ?; �+ k.�„,. i''� X"� Y ,. y� ' p..�l r . °� r` •,.t; t �r�l ^'. - '�� a.) :,.1"P�'' r .r� � .+
Consent to Inspect Name /Title • 6
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r"aA 1PIOJFJP 1.11"1\ Jul J 11X" 1. i 1%-Fl I" L
• 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
Signature. (that di V at ons Have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance) OPERATION
V =Violation
COMMENTS
❑'
" ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ff
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
[T
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
�1
L7
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
El
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
[E]"'
❑
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))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
Cl
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES R
NO
Explain:
, VwTnr rrn.r�w. r.,ornT,rT.•mTr.,.TC rnn DLTTTQAT_T!1_f 11Ri4�T TAN!`F.•
Si nature of Receipt:
r"aA 1PIOJFJP 1.11"1\ Jul J 11X" 1. i 1%-Fl I" L
• 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
Signature. (that di V at ons Have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)