HomeMy WebLinkAbout3701 E BELLE TER HMBP 6.24.14'jr
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BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTS FIRE' 2101HStreet
Os�r�erM r Bakersfield, CA93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
-Fax: (661) 852 -2171
ADDRESS
3-)01 -
FACILITY CONTACT
—
onsent to Inspect Name. Title
INSPECTION DATE INSPECTION TIME
6-ay- /4' 1 30 µ,w
PHONE NO. NO OF EMPLOYEES
I:lb 8 a'►- till 420?!q z 9
BUSINESS ID NUMBER
Section 1: Hazardous Materials Business Plan and Inventory Program IO
-- -
ROUTINE ❑ COMBINED El JOINTAGENCY ❑ MULTI AGENCY El COMPLAINT El RE- INSPECTION
C
V
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
VI ISLE 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)
P
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Lc S f h 1 r,
T
,4
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
2 1/5 /� �0���� �CCP
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
A
❑
VERIFICATION OF LOCATION
12729.2)
,
�[
V pI &kfl SEGAeeMi'l MM i
(Cl 5004.1)
/E3
[3
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.21
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(cp
IM
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 6621 (f); Cl 5003.5)
❑
HOUSEKEEPING _
(Cl 304.1)
❑
FIRE PROTECTION
1903 & 906)
�SI
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? YES ❑
NO
xplaln:
/q/Lth O• I /I'll" I r+KZ�.
Sitirtature of Receipt:
c, _ '
PUNT INSPECTION 1NSTKUUI IONS NUK KE'1'UKN-1 U- CVMYLIANI:E:
• 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
White - Btt,di Copy Yelbw- Busini Copy to be Sent in after retum to Compliarce
i UNq,ll At, ( IhJAJ
SI tore (that Fi0ations have been cortected as noted)
Date
Pink Prevention Services Copy Fri (1 1/14)
r
9II)IJIL; ✓!'1115 -��
J
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
NEW It 9h �c l
ADDRESS
FACILITY CONTACT
'irt
)onsent to Inspect Naine,Title
BAKERSFIELD FIRE DEPT.
Prevention Services
rA I o
2101 H Street
r Bakers field, CA 93301
Section 1: Hazardous Materials Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION�
C
V
i
COMMENTS
❑
Tel.: (661) 326 -3979
-Fax: (661) 852 -2171
❑
INSPECTION DATE
INSPECTION TIME
XI
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
AA IV
❑
PHONE NO.
NO OF EMPLOYEES
(CCR:2729.1)
L S I — R Y
4a:
i
�� 2 9
(CCR: 2729.3)
Section 1: Hazardous Materials Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION�
C
V
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
VI^PIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
JD
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
XI
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
L S I — R Y
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
z /y 1 j 1-I C( k __
/
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
_
/ T ?
13
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑ 1
, P i i SEGRCMtTI&MOF MA7IFMXC—
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR:2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (1); CFC: 5003.5)
Q
❑
HOUSEKEEPING
(CFC: 304.1)
d
❑
FIRE PROTECTION
(CFC: 903 & 906)
J81
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY
HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
xpl ai
(t/6 fli O.
i nature of Recei t•.
POST INSPECTION INSTRUCTIONS NOR RETURN -1U- COMPLIANCE:
• Correct the violations) noted above by
• Within 5 days of connecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Witine - BUSiiwn Copy YeWw - Business Copy in be Sent in after remm to Compliable
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
M2155 (Rev 1114)