HomeMy WebLinkAboutHMBP INSP 4.11.19BAKERSFIELD FIRE DEPT.
t a;i Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST;R::...... 2101 H Street
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONENOf
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to- Inspect Na e /Title
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
W ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
` ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
Y
Q ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
D 11 VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
L77 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
r 1 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ® NO
Explain: Si nature of Recei
"A
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all 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)