HomeMy WebLinkAbout600 WILLIAMS ST HMBP 5.8.19BAKERSFIELD FIRE DEPT.
Prevention Services
P
R I 1�1
UNIFIED.PROGRAM INSPECTION CHECKLIST., 2101 H Street
FIRE
A aRTM T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
4
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
C-1,4-T �
Consent to Inspect Name /Title
• Correct the violation(s) noted above by Signature (th all
• 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
ilations have been corrected as noted)
6
FD2155 (Rev 1/14)
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance) OPERATION
V=Violation
COMMENTS
,/-9 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65-080)
❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
,Z ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
[9 ❑ 'VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
De ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY .(CCR: 2729.2(3)(b))
F/I ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
)D ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
1:1 FIRE PROTECTION (CFC: 903 & 906)
E! El SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain-
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (th all
• 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
ilations have been corrected as noted)
6
FD2155 (Rev 1/14)