HomeMy WebLinkAbout7301 MALETA CT HMBP 2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST R- 1 H s
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:.:........................::. ::: :. :.. a R rff r Bakersfield CA 93301
HaZ -Mat usin'SS Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661),852-2171
FACILITY NAME _ INS P CTIO' DATE, INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
• Correct the vlolation(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)
ROUTINE
El COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE INSPECTION
C V
C= Compliance
OPERATION
COMMENTS
V= Violation
Q ❑
VISIBLE
ADDRESS (CFC:505.1, BMC: 15.52.020)
I
❑
Ap,
PROPRIATE 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)
❑ ❑
VERIFICATION
OF INVENTORY MATERIALS
(CCR: 2729.3)
❑ ❑
VERIFICATION
OF QUANTITIES
(CCR: 2729.4)
❑ ❑
VERIFICATION
OF LOCATION
(CCR: 2729.2)
❑ ❑
P
TOPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
1
❑ ❑
SAFETY
DATA SHEET AVAILABILITY
I
(CCR: 2729.2(3)(b))
El ❑
VEi
IFICATION OF HAZ MAT TRAINING
(CCR: 2732)
r
❑ ❑
VERIFICATION
OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))`
❑ ❑
EMERGENCY
PROCEDURES ADEQUATE
(CCR: 2731)
❑ ❑
CONTAINERS
PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5);
❑ ❑
HObSEKEEPING
(CFC: 304.1)
❑ ❑
FIRE
PROTECTION
(CFC: 903 & 906)
❑ ❑
SITE
DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDO
1 S WASTE ON SITE? ❑ YES ❑ NO
Explain:
S
of Recei t:
.,—POST INSPECTION
INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the vlolation(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)