HomeMy WebLinkAbout6911 WHITE LN HMBP 6.18.15,r ,
BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST u ...... E__R,..S;..F...t. _n
Prevention Services
F/;E 2101 H Street
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ARTM T Bakersfield, CA 93301
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Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FA ILITY N(�t ME, -....
INSPECTION DATE
INSPECTION TIME
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110 Ir-i
AD R - c
PHONE NO.
NO OF EMPLOYEES
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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❑
Consent to Inspect Name/Title
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
ff ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY 1I` COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance OPERATION
COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
f
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
LI
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
I
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
0
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑'�
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑+
❑
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
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ANY HAZARDOUS WASTE ON SITE? C'°YES ❑ NO
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i nature of Receipt:
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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)