HomeMy WebLinkAboutHMBP 2018aRTM BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H street
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME_
a ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
INSPECTION DATE
INSPECTION TIME
C V ( C= Compliance) OPERATION
V =Violation
COMMENTS
ADDRESS
PHONE NO
NO OF EMPLOYEES
.
El ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
FACILITY CONTACT
CI ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
BUSINESS ID NUMBER
f
0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
Consent to Inspect Name /Title.
,0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
r{5 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
M Correct the violation(s) noted above by Signature YTat' dlr'violations have been corrected as noted)
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' '.
Date
White Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
a ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V ( C= Compliance) OPERATION
V =Violation
COMMENTS
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
El ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
.
El ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
CI ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Y
CI ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
,0 ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
r{5 ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
Ffl ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
C ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
0 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
r❑ ❑ HOUSEKEEPING (CFC: 304.1)
0 ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2 (3))
,
r
ivr "y)
ANY HAZARDOUS WASTE ON SITE? ❑ YES Wr NO
r1j
Explain:
Si nature of Recei
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: .
a�
M Correct the violation(s) noted above by Signature YTat' dlr'violations have been corrected as noted)
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' '.
Date
White Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)