HomeMy WebLinkAboutHMBP 2/11/2015BAKERSFIELD FIRE DEPT.
R.. ..F...R. s .F,.i. L n
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 2101 x Street
.. .
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (6.61) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSP CT10
DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS. ID NUMBER
Consent to Inspect Name /Title
XX
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance) OPERATION
COMMENTS
V= Violation
❑
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
DQ
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
1 ^
❑
0
VERIFICATION,OF INVENTORY MATERIALS
(CCR:`272� 3
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
.,.
❑
❑
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))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
`tom
❑
❑
CONTAINERS PROPERLY LABELED (CCR' 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2(3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
Si nature of Receipt:_
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by .. M 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:
Bakersfieldjiie-H ., 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)