HomeMy WebLinkAboutHMBP INSP 4.22.19y„ BAKERSFIELD FIRE DEPT.
Prevention. Services
UNIFIED PROGRAM INSPECTION CHECKLIST IR,..�. -F,', 2101 HStreet
IRE
........ ....<.. <...... <..u.:.: R�� f Bakersfield, CA 93301'
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME.:
V =Violation
INSPECTION DATE
INSPECTION TIME
d ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65..080)
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
El VERIFICATION OF QUANTITIES (CCR: 2729.4)
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BUSINESS ID NUMBER
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YY6J' J 0 J
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.� ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
Consent to Inspect Name /Title
.l• ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
rhJ, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES` (CCR:2731(c))
IS ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
ft ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);, CFC: 5003:5)
C V (C= Compliance OPERATION COMMENTS
❑ `SITE DIAGRAM ADEQUATE & ON HAND- (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain`.
Sig nature of Receipt: 1{
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)
V =Violation
I_ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
d ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65..080)
❑ 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)
`
El VERIFICATION OF QUANTITIES (CCR: 2729.4)
L ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
e� ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
.� ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
.l• ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
rhJ, ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES` (CCR:2731(c))
IS ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
ft ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);, CFC: 5003:5)
HOUSEKEEPING (CFC: 304.1)
El FIRE PROTECTION (CFC:.903 & 906)
❑ `SITE DIAGRAM ADEQUATE & ON HAND- (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain`.
Sig nature of Receipt: 1{
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)