HomeMy WebLinkAbout803 INYO ST_HMBP 5.15.19BAKERSFIELD FIRE DEPT.
Prevention Services
»..:. F.._R... G .' F ..I D
UNIFIED PROGRAM INSPECTION CHECKLIST j
2101 "H Street
FARE
..� � s .... :...:.. :... A R FN f Bakersfield A
Haz -Mat Business Plan and Inventory Program Tel.: (6 1 26 =3979 :� --
Fax: (661) -
FACILITY NAME e
' .
INSPECTION DATE
INSPECTION TIME.
10 , 5D
ADDRESS
PHONE NO.
NO OF EMPLOYEES
J ❑
APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER"
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
Consent to Inspect Name /Title
C V
C =Compliance O P E R ATI O N
V= Violation
COMMENTS
0
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
J ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
e~ J_ 4Z]? I
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3),
�..,
❑
VERIFICATION OF QUANTITIES -
(CCRt 2729.4)
VERIFICATION OF LOCATION
(CCR :2729.2)
❑
PROPER' SEGREGATION' OF MATERIAL
(CFC: 5004.1)
.-® ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
*❑ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
,0' ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 {c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR:_ 66262.34 (f); CFCs 5003.5)
.;,ET" ❑
HOUSEKEEPING
(CFC:304.1')
❑
FIRE PROTECTION
(CFC: 903 & 906)
,E:r ❑
SITE DIAGRAM ADEQUATE& ON HAND
(CCR: 2729:2 (3))
ANY HAZARDOUS WASTE ON SITE? YES ❑
NO
Explain.:
gym. �
Si nature of Recei°'" t
{.,. ,- •� ,.�..,,... , w. �.
`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
a
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
i
i