HomeMy WebLinkAboutHMBP INSP 6.5.15BAKERSFIELD FIRE DEPT.
7 Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
FIRE
ARTM T
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FAC ILITY NAME. INSPECTION DATE INSPECTION TIME
ADDRESS PHONE' NO OF EMPLOYEES
rX
FACILITY CONTACT BUSINESS ID NUMBER
Consent to inspect Name/Title
t, 14 4q dnt
I Ef ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
ET'
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
ED/
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
2M
1:1
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
Er
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
2
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
12,
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
171
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
12
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
El/
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑/
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Er
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
El/
❑
HOUSEKEEPING
(CFC: 304.1)
IP/ ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 17-1 YES
�' NO
Explain:
Signature of Receipt,:__
POST' INSPECTION INSTRUCTIONS FOR RETURN -TO-COMPLIAN CE:
• 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 (that all violations have been corrected as noted)
Date/
Pink Prevention Services Copy FD2155 (Rev 1/14)