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Home My WebLink About7001 WHITE LN HMBP 6.18.15Haz-Mat Business Plan and Inventory Program FA".(' ILITY NAME INSPECTION DATE INSPECTION TIME ❑ MULTI-AGENCY ❑ COMPLAINT 1:1 RE-INSPECTION AQLLff,S'S tg PHONE NO. NO OF EMPLOYEES T� C=Compliance OPERATION V=Violation FACILITY CONTACT BUSINESS ID NUMBER ❑ "k Consent to Inspect Name/Title APPROPRIATE PERMIT ON HAND (BMC: 15.65-080) V ❑ POST INSPECTION INSTRUCTIONS FOR RETURN-TO-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 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signa a �iolat�ions have been corrected as noted) Date Pink Preventic�n Services Copy FD2155 (Rev 1/14) ❑ ROUTINE 1:1 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 1:1 RE-INSPECTION C V C=Compliance OPERATION V=Violation COMMENTS )R� ❑ 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) `0 ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ,,n ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729,3) 0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ❑ ❑ VERIFICATION OF LOCATION (CCR.: 2729.2) -E] ❑ 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)) )EI ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 171 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ HOUSEKEEPING (CFC: 304.1) Z 1:1 FIRE PROTECTION (CFC: 903 & 906) kO ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Si2nature of Receipt: / 4f/ POST INSPECTION INSTRUCTIONS FOR RETURN-TO-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 White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Signa a �iolat�ions have been corrected as noted) Date Pink Preventic�n Services Copy FD2155 (Rev 1/14)