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HomeMy WebLinkAbout420 FAIRVIEW RD HMBP 2015BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM INSPECTION CHECKLIST K' n 2101HSreet Services atRe 2101 H Street DOVARrM 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 T: ALA �,ti ;. `v RAt �I� v6 Zb I � ? -'> ADDRESS _ PHONE NO. NO OF EMPLOYEES 7Al fl. vl 66'-932.'3(•oL) -j FACILITY CONTACT BUSINESS ID NUMBER > 2_5 L a 'iS Ill It IU02-2.-17'7 onsent to Inspect Na ne'Tille Section 1: Hazardous Materials Business Plan and Inventory Program ® ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompllance) OPERATION V= Violation COMMENTS C9 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) m ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) IM ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) d ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) IN ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) S ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) S ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) © ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) S ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) © ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) El ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) S ❑ HOUSEKEEPING (CFC: 304.1) El ❑ FIRE PROTECTION (CFC: 903 & 906) 10 ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS WASTE ON SITE? ❑ YES NO xplain_ 'furniture of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: • Correct the violation(s) noted above by • Within 5 days of connecting all of the violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 White - Business Copy Yellow - nusi ss Copy to be Sent in after mum to CoWlfi e Signature (that all violations have been corrected as noted) 06� =V% lr Date JLS N Pink Prevention Services Copy M2155(Rcv 1114)