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HomeMy WebLinkAbout3701 E BELLE TER HMBP 6.24.14'jr an 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)