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532 BELLE TERRACE HMBP 2014
BAKERSFIELD FIRE DEPT. (A�1 S �U(3 5 Ira 6R1;rEN Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST; 2101HStreet Bakersfield, CA 93301 Haz-Mat Business Plan and Inventory Program z Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS - PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER onsent j t Name /Title Section 1 Hazardous Materials Business Plan and Inventory Program ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C =Compliance) OPERATION V =Violation COMMENTS 3128j( -_" ET ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) �1/ \ � 2 li I 3 � C +-i ,pic- ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) �taG O ,f�6 V- El CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) C A-/ ❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) .D ❑ VERIFICATION OF INVENTORY MATERIALS (OCR: 2729.3) El ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑` ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2s)(b)) © ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) D ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 0 ❑ 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)) NV HAZARDOUS WASTE ON SITE? ❑YES NO - Explain: Shrria6ure of Receipt: POST INSPECTION 1NS1'RUC'VIONS FOR RETURN -I O- UOMPLIANUL: • 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Business Copy to w Sent in alter return to Cmnplinnce Pink Prevention Services Copy FD2155(Rev 1 /14)