HomeMy WebLinkAbout919 34TH ST STE B HMBP 6.4.151,
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BAKERSFIELD FIRE DEPT.
Prevention -Services
UNIFIED PROGRAM INSPECTION CHECKLIST r F".. E.._R...S...F..t. J:.. .p 2101 HStreet
FIRE
:. Bakersfield, CA 93301
Haz -Mat B siness Plan and Inventory Proaram Tel.: (661) 326 -3979
FACILITY NAME ,
C 0
ADDRESS
FACILITY CONTACT
Consent to Inspect Name /Title
Fax: (661) 852 -2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
Cd .3'
BUSINESS ID NUMBER
.l 1
NE 17 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
, ' 4-1 6
3iV.11S
ANY HAZARDOUS WASTE ON SITE? ES ❑ NO
Explain: 1 Signature of Receipt: } -' /*
Lj �� • W � '� � :.... �..` y FtaM+,•„ =w =t ..F'�.1 'T .r"�' :.�.�� .. y f' .?
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by i
• Within 5 day 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
C V (
c= Uompiiance� OPERATION
V= Violation
COMMENTS
h'J ❑ V�SIBLE
ADDRESS (CFC: 505.1, BMC: 15.52.020)
2- 5a' APPROPRIATE
PERMIT ON HAND (BMC: 15.65.080)
,ef L
a-Q-1 CERS
UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
,.
❑ BUSINESS
PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
D"' ❑ VERIFICATION
OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION
OF QUANTITIES (CCR: 2729.4)
C� ❑ VERIFICATION
OF LOCATION (CCR: 2729.2)
❑ P
OPER SEGREGATION OF MATERIAL (CFC: 5004.1)
SAFETY
DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))µ
'E VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
® ❑ E
ERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ C
NTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
Ef ❑ HOUSEKEEPING
(CFC: 304.1)
Lam' ❑ R
E PROTECTION (CFC: 903 & 906)
❑''— ❑ SI
E DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
, ' 4-1 6
3iV.11S
ANY HAZARDOUS WASTE ON SITE? ES ❑ NO
Explain: 1 Signature of Receipt: } -' /*
Lj �� • W � '� � :.... �..` y FtaM+,•„ =w =t ..F'�.1 'T .r"�' :.�.�� .. y f' .?
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by i
• Within 5 day 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)