HomeMy WebLinkAboutKINGS ABBOTT WAY HMBP 6.10.15BAKERSFIELD FIRE DEPT.
"R;FEN Prevention Services
R UNIFIED PROGRAM INSPECTION CHEG K L I treet
2101 H Bakersfield, CA 93301
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME p f INSPECTION jDATE INSPECTION TIME C •rem ,-•L �?g �",, f p 4 "' $ T F� f "�.,..f
ADDRESS PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILIT ONTACT
Uk NA A
Consent to Inspect Name /Title
�• ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT El RE- INSPECTION
C
V
( C= Compliance) OPERATION
V= Violation
COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
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❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
M
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❑
❑
VERIFICATION OF LOCATION
PROPER SEGREGATION OF MATERIAL
(CCR: 2729.2)
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
®
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
M-
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
F1
0
❑
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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❑
HOUSEKEEPING
(CFC: 304.1)
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❑
❑
FIRE PROTECTION
SITE DIAGRAM ADEQUATE & ON HAND
(CFC: 903 & 906)
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES S NO
Explain: Nignature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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 —Business Copy Yellow — Business Copy to be Sent in after return to. Compliance
Sig at+that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)