HomeMy WebLinkAbout7950 WHITE LN HMBP 6.18.15BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST z R.... >...R...S...F..F. !� 2101 HStreet
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Bakersfield,
CA
93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY N ME INSPECTION DATE. INSPECTION TIME
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ADDRESS, g , `' a PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
17- ROUTINE ❑ COMBINED El JOINT AGENCY ❑ MULTI - AGENCY 0 COMPLAINT 11 FIE-INSPECTION
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( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
0/
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
0/
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
0
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
11 5
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
0''
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
CI°
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
01 fi .
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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❑
HOUSEKEEPING (CFC: 304.1)
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❑
FIRE PROTECTION (CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 11'YES ❑ NO
Explain:
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Signature of Receipt-
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by -,, �e§ gnature (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: t
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)