HomeMy WebLinkAboutHMBP 3/3/2017� ` r'+ a,� '+vim • n�4w' � � '`" t� � lianr' v ..� i , .. Y
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Insmctiona
4a
LFF 11D FIELD FIRE DEPT.
Prevention Services
R E R S 2101 H Street
F/RB Bakersfield, CA 93301
Tel.: 661 326 -3979
FACILITY NAME, ',
INSPECTION DATE_
1
INSPECTION TIME
ADDRESS , °w ,x
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
Fax: (661) 852 -2171
FACILITY NAME, ',
INSPECTION DATE_
1
INSPECTION TIME
ADDRESS , °w ,x
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
�.
y
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY _ ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompflance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
#
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008.
°
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY (CBC: 401)
a
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
1
y'
a.
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
F
r
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(0, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
N`
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? Q YES ❑ NO ISignature
ofRecei t .
y,
Explain:
Inspector: 6;'g-,
POST INSPECTION INSTRUCTIONS:' t °
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 �
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14) .