HomeMy WebLinkAbout3700 GOSFORD RD #C HMBP 6.23.15BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST"' E...R.,S F_i L_
Prevention Services
FIRE 2101 H Street
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�Rt� t Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INS CTIO D INSPECTI
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Q,N'TIME
ADDRESS _ PHONE NO NO'OFFEMPLOYEES
FACILITY CONTACT 6 BUSINESS ID NUMBER
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V e L;= uompuance) OPERATION
V= Violation
COMMENTS
Ll ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
'''❑ ❑ 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)
0 ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
El ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ -' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑Y `- ❑ 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)
❑ 0 FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: <` ,
47
• Correct the violation(s) noted above by Sig=4. 49-1 1 violations have been corrected as noted)
• 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
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)