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1000 BUENA VISTA HMBP 6.8.15
k BAKERSFIELD FIRE DEPT. Prevention Services A F .. S ..... A UNIFIED PROGRAM INSPECTION CHECKLIST `; FIRE 2101 H Street ARTM T ry 1 330 ..�.. .:.....,�.� s:>.:...:::.. H.,: r..v ti......... H..v v. .......:.:........v »..,..:.H..: Bakersfield, , Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 f Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME _ w A w 'V w..d # ^ fit?. M ... S ... PHONE NO. NO OF EMPLOYEES ADDRESS # 0 + . BUSINESS ID NUMBER FACILITY CONTACT '�o'a a'-� Consent to Inspect Name /Title El .. _ .. ENCY ROUTINE El COMBINED ❑ JOINT AGENCY 171 COMPLAINT RE-INSPECTION ❑ MULTI - AG C V ❑ r C= Compliance, OPERATION V= Violation VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) COMMENTS ® 0 ❑ ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) fl ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ ❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) VERIFICATION OF LOCATION (CCR: 2729.2) D ® ® ❑ ❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ® ® ® 0 ❑ ❑ ❑ ❑ ❑ ❑ ❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 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)) ANY HAZARDOUS WASTE ON SITE? ❑ YES © NO Signature of Receipt: Explain: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: j r' Correct the violation(s) noted above by Signa e�(tlia't all violations have been corrected as noted) • Within 5 days of correcting all of the violations, sign and return a copy of this page to: r „_ Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date FD2155 (Rev 1/14) Yellow — Business Co to be Sent in after return to Compliance Pink Prevention Services Copy White — Business Copy PY