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107 LAKE ST HMBP 6.10.15
BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLI ? Prevention Services aRr*m 2101 H Street ..:, ..r.::. >:,...::; Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program 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 Consent to Inspebt Name /Title p NE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( u =uompuance) OPERATION COMMENTS V =Violation ❑ V�SIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) El ' AI PROPRIATE PERMIT ON HAND (BMC: 15.65.080) El GERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) E❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ © VIRIFICATION OF QUANTITIES (CCR: 2729.4) I iii 5' " ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑,❑ PI OPER'SEGREGATION OF MATERIAL (CFC: 5004.1) w E ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ❑ ❑V VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Ei",- ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ E ERGENCY PROCEDURES ADEQUATE (CCR: 2731) ly ❑ CI NTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) 9" ❑ HOUSEKEEPING (CFC: 304.1) C�❑ Fii E PROTECTION (CFC: 903 & 906) EV ❑ SI1fE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES QA0 Explain: i nature of Recei t: POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: • Correct the vlolation(s) noted above by _ . tSigriafure (that all violations have been corrected as noted) • Within 5.;dayL of correcting all of the violations, sign and return a copy of this page to: 3 Bakersfield ire Dept., Prevention Services, 2101 H Street, California 93301 Date White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) k