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HMBP INSP 4.22.19
ar� ® BAKERSFIELD FIRE DEPT. +° i ----- Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A_, .F._,R S.F „I, L. n FIRE AR f 2101 H Street D fM Bakersfield, CA 93301. HaZ -Mat Business Plan and Inventory Program Tel.:, (661) 326 -3979 Fax: (661) 852 -2171 g_,ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V( C= Compliance) OPERATION V= Violation COMMENT$ I°I ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) E7 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ,0 ❑ CERS UPDATED FOR THE CURRENT CALENDAR,YEAR (H &S 25404(e) 7 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) JZ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) �I ❑ VERIFICATION OF °QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) /© ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) s +❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) HQµ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ” ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) JD ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ,Z NO Explain: Signature of Receipt: 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 - 1, White —Business Copy Yellow'— Business Copy to be Sent in after return to Compliance Pink Prevention Services Cop y• FD2155 (Rev 1/14)