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HomeMy WebLinkAbout13001 STOCKDALE HWY STE B HMBP 5.5.14BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST aFIRe' 2101HStreet Haz-Mat Business Plan and Inventory Program �rtrlx r Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY�NAME �-1 INSPECTION DATE INSPECTION TIME ADDRESS - - -: v\ ) � �� t-- (:'IO�� Ll(��.,. NO OF EMPLOYEES FACILITY„OON ACT J ( /)-' -`� t� i BUSINESS ID NUMBER I � �l %'�ti � �/`�� C �� 2 onsent (We Name Title to, Section 1: kiaardoris Materials 8usiriess Plan and Inveit #orY Program ❑ ROUTINE .0 ,OMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= violation COMMENTS ©' ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CY ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) [b-/ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) CF�S h I Q ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) 16 ©" ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) ©'' ❑ VERIFICATION OF LOCATION (CCR: 2729.2) [9' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) Er ❑ SAFETY DATA SHEET AVAILABILITY (CCR:2729.2(3)(b)) '❑-' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) EY ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) Kr ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ®' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑� ❑ HOUSEKEEPING (CFC: 304.1) ff'❑ FIRE PROTECTION . -} ;e ti (CFC: 903 &906) Yelp ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) NY HAZARDOUS ASTE SON SITE? ES ❑ NO xplain: i i - _• ..- - -_ < I �ic��P�Irrt.� j { ._.. na i ture of Receipt I : % POST INSPECTION INST UCTIONS FqR RETURk- TO- COMPLANN E: J • ( 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 Sigaatr >te�(4!tatalLuiulatiou&kau ed�- Date White — Business Copy Yellow — Business Copy to be Sent in after rewm to Compliance Pink Prevention Services Copy M2155 (Rev 1/14)