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4900 PANAMA HMBP 6.11.15
BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST A -. F.._R s .F...t. 2101 H Street :<. FIRE :..:: ,. .:.:.,.: :.�. >... r v.:.'. ...:.:...::........:.... n.:...:... Y.+: k: :k:jy::.......:.v.:::.v;:. ✓..t• ......n..,.:n.:n..nnnn,.:.. x.vn......n.....:.,..... .. n. .... ARTM f Bakersfield, CA 93301. Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 <s Fax: (661) 852 -21.71 FACILITY NAME INSPECTION DATE INSPECTION TIME 3 C7, ADDRESS PHONE NO. NO OF EMPLOYEES L/ Irl FACILITY CONTACT BUSINESS ID NUMBER onsent to Inspect Narhe /Title, -� ....:.... .:.:......:...::.:< >:...:... E1 ::;:.: .::ENCY❑ ROUTINE MBINED ❑ JOINT AGENCY >:: >: M❑ U LTI- AG COMPLAINT❑RE - INSPECTION' C V �. C= Compliance OPERATION COMMENTS V= Violation ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ,0 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ^ ❑ 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) ❑ PROPER SEGREGATION OF MATERIAL (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)) C]"'.0 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ®'— ❑ CONTAINERS PROPERLY LABELED. (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) ❑ FIRE PROTECTION (CFC: 903 & 906) DO`- ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ES ❑ NO Explain: i nature of Recei 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)