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1601 MILL ROCK WAY HMBP 2015
UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Insnection FfieLITY NAME �. f INSPECTION DATE INSPECTION TIME V ; fir,,. ,�,p �t : �„ 1 i f it - yw,� tw, 4 ,• /,y, -.ti t ADDRES S ?? y� I PHONE,,NO a •; y NO OF,,�EMPLOYEES $$� fj)+ p p ,p� BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) > + FACILITY CONTACT ;` ' BUSINESS ID NUMBER VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) Consent to Inspect Name/Title'`3 .” . e . ' :. , , , :. c < k M . , 's1 ti . . : ..w ., ' �. . i. . . .r, S , ', :„ : . s :.. �. . ; n , �. . � '? . ,s`Y . Y.z � , . o. ., . , . . . , � o ,. -S :a v a � � . , £, Y a . � . . ' a . 3 ua ux. , . > , k . . , .. . . . �:: a. .,. V. _ . . e : .. ., 5,. . . . , i . . x Y, .;: �, ...5 a , . z � i,.. r. a, . 1 z..,B u . . . � 4 & � .z. W �' 4.� ''.m r,., . . . . Z : `a te.s. x=c , .. ,2 e �' r^ :. , , . .s , . �>. r. " 5 .4,�� n .a ^ S .�.. } !. '.. � , , ,x.. ., .�, x a . .,�o . .,,•m n e . s 'k a .t x+ T. .,.. . . v. 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C V G=Uompliance OPERATION V= Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC:401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 h HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES b NO i natureofReceipt Explain: Inspector: POST INSPECTION INSTRUCTIONS: • 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 °....� Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow — Station Copy Pink — Prevention Services ”- FD2155 (Rev 8H14)