HomeMy WebLinkAbout3200 MILL OAK RUN HMBP 2015. BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST FleE 2101 HStreet
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Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
/ Fax: (661) 952 -2171
FACILITY NAME
y c INSPE TION DATE INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
FACILIT P NTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
I P" ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
r u= uompuance) OPERATION
l
V= Violation
COMMENTS
PT
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)x`,y
x
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
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VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑'(
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HOUSEKEEPING (CFC: 304.1)
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FIRE PROTECTION (CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 9 NO
Explain :
Si nature of Recei t:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
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• 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
"igntre (tha allviol4tions have been corrected as noted)
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White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)