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6401 WHITE LN STE 107 HMBP 2014 NLIB
UNIFIED PROGRAM INSPECTION CHECKLIST Haz-Mat Business Plan and Inventory Program FACILITY NAAdE.j..-� INSPECTION DATE INSPECTION TIME ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION ADDRESS PHONE NO. NO OF EMPLOYEES e-4 © 1 L., t-t I r i COMMENTS ❑ ❑ FACILITY CONTACT BUSINESS ID NUMBER ❑ APPROPRIATE PERMIT ON HAND (BMC( 565.080) ame / Consent to Inspect NTitle ❑ ❑ POST INSPECTION INSTRUCTIONS FOR RETURN -I'O- COMPLIANCE; Correct the violation(s) noted above by 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow— nuMne"C." to be Sent lu after arum to Ct.'1wnee Puth Preveeion Services Copy FD2155(Rev 1/14) Section 1, Hazardous Materials Business Plan and inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V ( C =COmpllance) OPERATION V= Violation i COMMENTS ❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC( 565.080) Z S ❑ ❑ CERS UPDATED. FOR THE" CURRENT CA LENDAR YEAR (H&5 25404(e) f ❑ ❑ BUSINESS. PLAN CONTACT INFORMATION ACCURATE ) (CCR: 2729.1) ❑ ❑ VERIFICATION OF INVENTOR IIAA�ATERIALS CCR: 2729.3) J ❑ ❑ VERIFICATION OF QUANTITIES ❑ ❑ VERIFICATION OF LOCATION its- ) ',(CCR: 2, 729.2) ❑ ❑ PROPER SEGREGATION OF MATERIAL i . y f/ j(CFC: 5004.1) �„ r' El El SAFETY DATA SHEET AVAILABILITY ' (CCR:2729.2(3)(b)) ❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ ❑ VERIFICATION OF ABATEMENT SUPPUI =S AND PROCEDURES (CCR:2731(c)) ❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ❑ ❑ CONTAINERS PROPERLYLABELED (CCR: 66262.34(f); CFC: 5003.5)�,� __ ✓,,<j' /r{r ,a� ❑ ❑ HOUSEKEEPING,' (CFC: 304.1) ❑ ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NV HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: i nature of Receipt: POST INSPECTION INSTRUCTIONS FOR RETURN -I'O- COMPLIANCE; Correct the violation(s) noted above by 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 Signature (that all violations have been corrected as noted) Date White — Business Copy Yellow— nuMne"C." to be Sent lu after arum to Ct.'1wnee Puth Preveeion Services Copy FD2155(Rev 1/14)