HomeMy WebLinkAbout801 E CALIFORNIA AVE HMBP 5.14.15' BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST;` A.. F.:.R S.F...t. -n 21.01 HStreet
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Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 =2171
FACILITY NAME INSPECTION GYATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER .
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Consent to Inspe t Name /Title
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❑ ROUTINE COMBINED ❑ JOINT AGENCY ' ❑ MULTI- AGENCY El COMPLAINT El RE-INSPECTION
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by l '` Signature (that all 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, 21.01 HStreet, 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).
C V
r C= Compliance) OPERATION
V= Violation
COMMENTS
❑
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)
0 ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
r.
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
,Ll ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b).)
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
rY ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
4
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
HOUSEKEEPING
(CFC: 304.1)
,❑ ❑
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:
• Correct the violation(s) noted above by l '` Signature (that all 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, 21.01 HStreet, 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).