HomeMy WebLinkAboutHMBP INSP 4.22.19s r . BAKERSFIELD FIRE DEPT.
Prevention Services.
UNIFIED PROGRAM INSPECTION CHECKLISTr >3_ -, ...,_R S.F_..L f:.n
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,..,.... F�R,r� 2101 H Street
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HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME t
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT,
BUSINESS ID NUMBER
Consent to Inspect Name /Title
f
❑
APPROPRIATE PERMIT ON HAND
❑ 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)
f
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
r'
1
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR; 2729.1)
❑
,VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)'
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
01'
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34
(f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
,E
❑
FIRE PROTECTION
(CFC: 903 & 906)
P7
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain:
Si nature of Receipt:
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)
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