HomeMy WebLinkAboutHMBP RTC 11/19/201706/01/01 12:18AM HPFAX Pagel
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
__,dfth.�_ & BAIMRSFIELD FM DEPTO
tj Prevention Services
2101 H Street
PIN Bakersfield, CA 93301
PIN fANTM
Aftol"Jb..�V
l, Fax: (661) 852-2171
FACILMY NAM E
T
..........
INSP CTION
N$PECTION TIME
I
ADDRESS
C^
HONE NO,
140 OF EMPLOYEES
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USINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Ni-me/Title
VISIBLE ADDRESS (CFC: 505.1, BMG: 15.52,020)
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COMPLAINT RE -INSPECTION
)0 ROUTINE C3 COMBINED C3 JOINTAGENCY 0 MULTI-AGENCY El
C V la;iCornplianca OPERATION
V=Vlolafion; 01 fAnor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC.
0
3010,
C'p-LL'
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.'!)
1010003
VISIBLE ADDRESS (CFC: 505.1, BMG: 15.52,020)
CORRECT OCCUPANCY
110
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
101 0004
VERIFICATION OF QUANTITIES (CCR_, 2729.4)
10,0006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC. 2704.1)
VERIFICATION OF SOS AVAILABILITY (OCR, 2729.2(3)(b))
- , L
VERIFICATION OF HAZ MAT TRAINING (CCR. 2732)
1020002
VERIFICATION OF ABATEMENT SUP IDILIES 9, PROCEDURES (CCA:2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 27Z 1)
1010010
CONTAINERS PROPERLY LABELED (OCR: 66262,34(0, CFC: 2703-5)
303DO07
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC. SM & 906)
3030032
a;L C_'T_
SITE DIAGRAM ADEQUATE & ON HAND (CCR- 2729.2)
1010005
�kNY HAZARDOUS WASTE ON SITE? [I YES 0 NO
simature of ikee
Av I
xplain:
POST INSPECMON rNSTRUCTIONS-
Cormcc the violation(s) noted above by e'lJz2
V Within 5 days of conwting ail of the vioMans, sign and return a copy of this page to'
Bakcrdleld Fire Dcpt., Prevention Services, 2101 H Street, California 93301
Sipawre (that all violations have been con,0c:tW as notea)
I I -
Date _T"t I 1 -1
White - Business COPY Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 91114)
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