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HomeMy WebLinkAbout7001 WHITE LN #12 HMBP 6.18.15s aRFAF BAKERSFIELD FIRE DEPT. Prevention Se rvices ` UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet t Bakersfield, CA 93301 HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FkCILITY NAME �•- INN— SPCTION DATE INSPECTION TIME .A' "' p a, l t th tv c -i v l' ? ' s "`+fib I fir. ,; ADDRESS PHONE 4 NO OF,, &MPLOYEES FACILIT CONTACT r BUSINESS ID NUMBER Consent to Inspect Name /Title - ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( L;= Uomphance) OPERATION COMMENTS V= Violation ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ 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) ❑ E5, VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) `k ❑ 'EJ, VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ CJ VERIFICATION OF LOCATION (CCR: 2729.2) El ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ ❑ SAFETY DATA SHEET AVAILABILITY ``. (CCR: 2729.2(3)(b)) ❑. 0.. VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) El ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ©, ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) .l" ❑ FIRE PROTECTION (CFC: 903 & 906) ❑ 0 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZsARDOgUS,WASTE ON SITE? 2 "YES ❑ NO ..., E x plain: Sienature of Recei t r POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: 1 _)•k yy CfjP�" f q • � 2,ni'Gr� Jr d Cigna; lations • Correct the violation(s) noted above by re (thtt 11 vio have been corrected as noted) • Within 5 days of correcting all of the violations, sign and return a copy of this to: page ° Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 t Date' a White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)