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HomeMy WebLinkAbout1210 33RD ST_HMBP 6.4.19,rf _ BAKERSFIELD FIRE DEPT. fir• Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST {' :'k;., 2101 H Street , Bakersfield CA 93301 SECTION 1 Hazardous Materials Business Plan `� Tel.: 661 326 =3979 ' ( ) :... .` .' Fax: (661) 852 -2171 Inspection FACILITY NAME INSPECTION DATE INSPECTION TIME PHONE NO. F• NO.OF EMPLOYEES ADDRESS BUSINESS ID,NUMBER FACILITY CONTACT �t I. Consent to Inspect Name /Title 7 y...: ya ': i" 1 � } i .-L 3d' 3 3 � P � )•'L�.. Sy-t} .. }"" i�x .. ..<.. ...., 4.: i ... _ ..... .,. .,.. �. ., r. .... S. 1.I _. d. . t. v Y w3'... 7•. . - . ,.. X.. .. ... .... ' ".. .... ... e: � 'i, 3 v z .... 6..... «...H.7. ....,.. , ,:_: i:.t,:..< «. :.,> ,t, : and_ Inuen , }, ro ram., Plan _ «..,,.« , : < , ❑-- ❑ MULTI- AGENCY - ❑ COMPLAINT ❑RE- INSP,ECTI,ON �(+��'�j1�,(�� JOINTAGENCY F OUTINE ❑ :COMBINED. C V . C= Compliance OPERATION C E fZS> . COMMENT, " V= Violation; 1,11 Minor Violation # APPROPRIATE PERMIT,ON'HAND BMC:15:65.080) 3010001 CE,RS INFORMATION,ENTERED & UPDATED ANNUALLY (CCR: 2729.1) ' 3210043 VISIBLE ADDRESS' (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY. (CBC. 40.1) 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) - VERIFICATIONOFSDSAVAILABILITY (CCR:`2729.2(3)(b)) " RIFICATIO.N OF HAZ MAT TRAINING (CCR: 2732) 1020002 :. VERIFICATION OFABATEMENT SUPPLIES & PROCEDURES (CCR: 2731;(c)), . EMERGENCY °PROCEDURES ADEQUATE ( CCR: 2731) 1010010' G f. `.CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC, 2703.5) . 3030007; 4 t* HOUSEKEEPING (CFC: 304.1) ' . FIRE PROTECTION (CFC: 903`& 906) 3030032- SITE DIAGRAM ADEQUATE & ON-HAND (CCR: 2729.2) 1010005, a rv, Sig natuxe of Receii t 4�.�, �. , -3 .- S WASTE ON SITE? ❑ YES [� NO .,ANY: HAZARDOUS Z A R D O U Explain: .Inspector: POST INSPECTION INSTRU4tTIONS: • Correct the violation(s) noted above by all` °of sign and return a copy of this page to: ' Signature (that all,violations have been corrected as noted) • Within 5 days of correcting the violations, Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301: Date Station Copy P Services,' mk Preventio n FD2155 ( Rev 9/2017)'-, '- ,. Wh ite Business Co py . " Yellow — x. .. ., ..