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2200 S UNION AVE HMBP 5.27.14
r1111liq Jews Gds K. Uw ,q tm)rl Uu, L4Li l- UNIFIED PROGRAM INSPECTION CHECKLIST Haz-Mat Business Plan and Inventory Program wdl) br� n. easrl n FJRE IRTM f BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street - Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME v INSPECTION DATE 14 INSPECTION TIME 1 ADDRESS �Z Ou — ;1vE S PHONE NO. �?z- NO OF EMPLOYEES FACILITY CONTACT PICK Lti.'111'LUCK. 91 BUSINESS ID NUMBER I? 1001_L4�v�n onsent to Inspect Name /Title KNtJL+!:, C LE 1.i Te' (BMC: 15.65.060) © ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR Section 1: hazardous Materials Business Plan and Inventory Program S . t U C' S ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C =Compliance OPERATION V= Violation COMMENTS S ❑ VISISLEADDRESS (CFO: 505.1, BMC: 15.52.020) 91 ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.060) © ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) S . t U C' S [9 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (OCR: 2729.1) 7t, 0/� f E9 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) S ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) [fl ❑ VERIFICATION OF LOCATION (CCR: 2729.2) Q ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ® ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(6)) Q ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) © ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) © ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) [y7 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) © ❑ HOUSEKEEPING (CFC: 304.1) El ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS WASTE ON SITE? ❑YES El NO xplain: S POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: 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 While - Business Copy Yellow - Business Copy to be Sent in alter return to Compliance Signature (that all violations have been corrected as noted) ✓1/7,4/ Date p Pink Rrevennou Semites Copy FD2155 (Rev t /14)