HomeMy WebLinkAboutHMBP INSP 6.2.16UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
a
BAKERSF
IELD FIRE
DEPT.
Prevention Services
E R 8 F I P 2101 H Street F Aj-- r
Bakersfield, CA 93301
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
(CCR: 2731)
COMMENTS
❑
ADDRESS M
PHONE NO.
NO OF EMPLOYEES
LY
❑
APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER
[9
❑
Consent to inspect N4me/Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
u=uornpiiance) OPERATION
V=Violation
(CCR: 2731)
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CCR: 66262.34 (f); CFC: 5003.5)
LY
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
(C FC: 304. 1)
[9
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
91
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
5.
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
121-
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
59
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
[9.
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
5: ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
5- ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
9- ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
9
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
171
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
M,
❑
HOUSEKEEPING G
(C FC: 304. 1)
❑ FIRE PROTECTION (CFC: 903 & 906)
El ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 171 YES 3 NO
Explain: Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• 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
Signadre,'(%Gat all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)