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2907 BRUNDAGE LN HMBP 5.10.19
.'� s ... :. ':.is � a4 m err ... ✓ �v= #" , s'r .+C > .. , <re� BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST .;' 2101 HStreet Bakersfield, CA 93301 Tel.: (661 326 -3979 SECTION 1: 'Hazardous Materials Business Plan ) Inspection ,` .m ... Fax. (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME } APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS �� 6 rw PHONE NO., /A NO OF EMPLOYEES CERS INFORMATION ENTERED &.UPDATED ANNUALLY (CCR: 2729.1) 3210043 FACILITY CONTACT + ; BUSINESS ID NUMBER rte',, , � � ��^"� °- ;:�-: '�,✓,," # VISIBLE ADDRESS - (CFC: 505.1 „BMC: 15.52.020) Consent to Inspect Name /Title z ' 1 3 3<.�g: ,:..3 $ ....; 3 �E 'S .,.. �.... ;I.: �` . ":. A, i<:' .: i .. #" , .. .. . 3 �v k - 3 :�.i £,.,: ,:: r ..'., � f. i.'. .., .r..3 .,. } 3 - > r .,.> t ,3 ,...3r.1 �. E .,. ',.�, Y f.:" .: r{ • i ..} ,.s::,. 3, .,., .: : ;. >. ;. ... .... . ,1. } n 1 Business .Plan.:andl' -In �,;zii: ts_) „�.4d(,,,, ,,,;;, ,,,, ". }. c+t �::�,,. sE.3i33 ;r .'}....,.�.i:h �i,w ,�,.:i„__Y3., , „a:3. 'o- }, �7:.v,.:~m ,.,,.,',•a..f5„ !.. ', ,. ,, ».,, .x�._,. ,. ,_ ��_: .,._,,,., ;3�_..3.,s:�`� „�, ._a.... >3,,. ,E.,,.:- .,_., }•:.:,.N, �. ,...;.,., a < Q. ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION - CCompliance 'C V — OPERATION V= Violation; Ul.Minor CERS Violation COMMENT } APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001,1 'a? CERS INFORMATION ENTERED &.UPDATED ANNUALLY (CCR: 2729.1) 3210043 ,P "e ,. ` VISIBLE ADDRESS - (CFC: 505.1 „BMC: 15.52.020) z ' CORRECT. OCCUPANCY. (CBC: 401) #�y VERIFICATION OF INVENTORY.MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 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 i CONTAINERS PROPERLY LABELED (CCR`. 66262.34(1), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑,YES ❑ NO ISiffnature ofRecei t Explain: Inspector: _ gg p POST INSPECTION INSTRUCTIONS: f �` • Correct the viol f correcting all of the violations sign and return a co of this page to: Signature (that "all violations h v been rr • Within 5 days . o g. 'gn copy p g have been corrected as noted) `Bakersfield Fire Dept., Prevention Services 2101 H Street, California 93301 Date', < , Whiter Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 9/2017)