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hmbp 2019 2505 MT VERNON AVE
5eS3',"_`.'t 6w ' ..s UNIFIEDD PROGRAM INSPECTION CHECKLIST : SECTION 1: Hazardous Materials Business Plan Inspection 7 BAKERSFIELD. 'FIRE DEPT.. Prevention Services 210. 1 H Street Bakersfield, CA 93301 _. Tel.: (66) 326-3979 Fax: (661) 852 2171 FACILITY NAME _ _ INSPECTION DATE INSPECTION' TIME, ADDRESS PHONE NO. �t NO OF EMPLOYEES FACILITY CONTACT ; ¢ BUSINESS` ID NUMBER Consent to Inspect Name /Title � - 2e. .A. C .. ....vaw ;... -ts .... .:.a, �,,,® �.. .. .} ........ n.... :.. 1 .. ..., .,...._H. ...:.:. . ....... ...: .,.':� 3,..k .,�..,... ,. ., .., .:. ..xM, .. ,:. :'x. v. 1 • ,.:.,.;..,, ,e..i;.jl .. ... .... .. .. :., -::. , .. .. -. .... .:: .: .. .,,. .. 3.^'. > : : nd.In,ven.tor 1 3 , Business 3Plan. a . Secf on,,.. ,.,, Y ❑ . MULTI - AGENCY ROUTINE: ❑ COMBINED ❑ , JOINT AGENCY ......... .. ...... ..3 Pro ,ram El COMPLAINT .e.'v.'a3 F ;. tY`: 3 ❑ RE INSPECTION' _ 'C V C— Compliance - OPERATION V =violation; "I;I1 Minor CERS`. Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY :(CCR: 2729.1)' 3210043 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF, INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1.010006 VERIFICATION OF LOCATION (CCR: 2729.2) #� PROPER. SEGREGATION OF MATERIAL (CFC:2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 " VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE: (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC.: 2703.5). 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC:.903 & 906) SITE DIAGRAM: ADEQUATE & ON HAND (CCR: 2729.2) 3030032 101.0005 41 / 11 A ANY HAZARDOUS WASTE ON SITE? E] YES ❑ NO Si nature ofRecei `"' T, Explain: Inspector: POST INSPECTION INSTRUCTIONS: _ - • 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: Signature (that all violations have been. corrected as noted) : Bakersfield Fire Dept., Prevention Services,- 2101 H Street,, California 93301 Date White ;- Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 9/2017)