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HomeMy WebLinkAbout5201 WHITE LN HMBP 11.20.14i BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST R F_.R,.. s :F .?. 1? FARE 2101 H Street .... .• :....... ..... :.... ..,::.: }•......•,,..• :•.... .:: n...�:nnY'v'.%•'.Y. i,.vn;. :.Y:.;:..:i•:•.'• : >;Yy�i «•Y:�:i::» :]i::• i::i;•u]: :oi:�Yxx:;' >; :v,:u.. 4.4'• ":•': .;i} :`i• :..:.::.: .: vv.n.v:: .: ... ...y..: w:Y r ::.. ... ..::...:.::: .y .•, .].. �� v .:•: .... , �• •� • � � ��• � • � � • � � ��` '"" �� Bakersfield, CA 93301 HaZ -Mat Business Plan and inventory Program Tel.: (661).326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION D TE INSPECTION TIME. ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER e.:J 0. J., :s 4�() Consent to I'nspeet N-ame4Tit'Ie._. C v e C= Compliance OPERATION COMMENTS V =Violation ©' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 1.5.65.080) �,I�l ❑ 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) f ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ VERIFICATION OF LOCATION (CCR: 2729.2) . 13 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) .1P� ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ©/' ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR;2731(c)) IT- ❑ EMERGENCY PROCEDURES. ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) f �❑ ❑ HOUSEKEEPING (CFC: 304.1) /E] ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2. (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES Z NO i Explain: i nat�e of Recei t: 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)