HomeMy WebLinkAbout3605 ROSEDALE HWY HMBP 5.7.15FACILITY NAME INSPECTION DATE INSPECTION TIME
ADD SS _ _ PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to lnspe t Name /Title
1
❑ MULTI- AGENCY ❑. COMPLAINT ❑ RE- INSPECTION
BAKERSFIELD FIRE DEPT.
C V
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
F R s F'. ` .._.n
2101 H Street
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FIRE
11RTM T
Bakersfield CA 93301
Haz-Mat Business Plan and Inventory Program
/APPROPRIATE PERMIT ON HAND
Tel.: (661) 326 -3979
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR
Fax: (661)'852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADD SS _ _ PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to lnspe t Name /Title
YV.71 11V.7YLl.11V1V 11VD1KUl,11V1V�11'V1CKL' 1Uli1V- 1V- l.:V1V11'L1H1Vl..L':
• 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 _-C] COMBINED ❑ JOINT AGENCY.
❑ MULTI- AGENCY ❑. COMPLAINT ❑ RE- INSPECTION
C V
l C= Compliance) OPERATION
V= Violation'
COMMENTS
,-0 ❑
VISIBLE ADDRESS (CFC: 505.1,
BMC:15.52.020)
10 EJ
/APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
{.....� d Q:...
�;EI " ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑" ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
,,,E]-- ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004,1)
-®� 0
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
,,D' ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
,y �l `❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(6)
❑ .-"'"~EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
E ❑
FIRE PROTECTION
(CFC: 903 & 906)
/E f .❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES '-E
NO
Explain:,
iThmT�T Y!'.mTA�Yh TIAT T1T.mTTT 1Y T!l lY AID TT1T T
\TlYT1 -
i nature of Receipt:/,), f F
YV.71 11V.7YLl.11V1V 11VD1KUl,11V1V�11'V1CKL' 1Uli1V- 1V- l.:V1V11'L1H1Vl..L':
• 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)