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HomeMy WebLinkAbout100 JEWETTA OR 12001 STOCKDALE HWY_AT&T HMBP 1.11.24i� ^n S ✓ � c 11 S Y BAKERSFIELD FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST 21o1HStreet Bakersfield, CA 93301 SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979 Inspection 'V V) S-Ia4 0 Fax: (661) 852-2171 FACILITY NAME /} —� � � - /� � � L � INSPECTION DATE INSPECTION TIME ADDRESS / Cr' P W A M -S PHONE NO. NO OF EMPLOYEES FACILITY CONTACT 17 s4cc 4p, USI ESS ID NUMBER � Z LA,) CONSENT TO INSPECT NAME/TITiE0 P � 1 / � — D 2 Vv- :7!? Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION C V C=Compliance OPERATION V=violation; 1,11 Minor C E R S Violation COMMENT ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 / -- =� — 2 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) A V e C-3 T CORRECT OCCUPANCY (CBC: 401) 1 t� Id 1./\.rc � trl l t Y C� . � VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 4 CA VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Sip -nature of Receipt . Explain: Inspector: i"l o -- r/ Vj POST INSPECTION INSTRUCTIONS: • 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 Signature (that all violations have been corrected as noted) White — Business Copy Yellow — Station Copy Pink — Prevention Services Date FD2155 (Rev 6/2021)