HomeMy WebLinkAboutHMBP INSP 2018BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST R.. ..A_R,:-- .F..t. n 2101xStreet
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FIRE
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• A 3301
Bakersfield, C 9
Bak fi
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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FACILITY NAME `
t
C= Compliance) OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
❑
1l � ,,e•
VISIBLE ADDRESS
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ADDRESS
p'
/APPROPRIATE PERMIT ON HAND
PHONE NO.
NO OF EMPLOYEES
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
09
FACILITY CONTACT
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
BUSINESS ID NUMBER
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
Consent to Inspect Name /Title
f-
P
El
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(6))
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)
❑�
❑
/APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
09
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
El
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(6))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
d
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
D
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
®
❑
HOUSEKEEPING
(CFC: 304.1)
EY
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES Cr NO
Explain:
Si nature of Recei t: ' , E`„ �, ✓
MUST 1NSFEU'110N 1N61KUl:1lU1V1 VUK KJr JL xctv'1V'� V1VirLlr�.l�� r.:
• 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
White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance
Signature��affvfolations have been corrected as rioted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)