HomeMy WebLinkAbout115 BUENA VISTA HMBP 2014UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
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RcSFIELD FIRE DEPT.
Prevention Services
RSFI
FIRE 2101 H Street
A rM r Bakersfield, CA 93301
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FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
A'
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PHONE NO.
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NO OF EMPLOYEES
FACILITY CONTACT
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9: 'i >�. �C t �;. J a, i ^n �`a_'
BUSINESS ID NUMBER
0033(oL)
Consent to Inspect Nanne/Title
1
(H &S 25404(e)
Section 1: liazardaus Mz #eriats Susinee ITlan and InVet�ft ry k rogr frt .
Lxl ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C= COmpliance) OPERATION
V= Violation
COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.000)(jN4V4l�4ID�Z
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❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
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❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
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-
❑
Cl
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
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❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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(✓
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(ell
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
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))
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
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i nature of Recei t:
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POST INSPECTION INSTRUCTIONS FOR RETURN- TO- CONIPLLANCE:
Correct the violation(s) noted above by
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
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Signature (thavall violations have been corrected as noted)
r0" I `�
Date
White — Business Copy Yellow — Bivincss Copy to be Sent in after return to Compliance Pink Nevention Services Copy M2155 (Rev l /14)