HomeMy WebLinkAbout1200 COFFEE RD HMBP 9.30.14BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST F;reE 2101 H Street
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AR�'� r Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
FA 5 i k 0 oo
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT. BUSINESS ID NUMBER
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Consent to Inspect Name/Title 1~
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POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by 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, 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)
❑
ROUTINE COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance OPERATION
V= Violation
COMMENTS.
J=' ❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
/El
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
/El
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
1.0
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
LI
❑
VERIFICATION OF QUANTITIES
(CCR: 2729:4)
rMor
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
,�
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
2-
❑
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 (f); CFC: 5003.5)
,r❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
1
❑
SITE DIAGRAM ADEQUATE & ON HAND
f
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Explain:
a"- Pi S" / i � E A I. � Car ✓6r � C� � r Sn'F
-,
ft nature of. R ece" t: -�
'� � �. i
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by 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, 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)