HomeMy WebLinkAbout509 E BRUNDAGE LN HMBP 7.9.14S
UNIFIED PROGRAM INSPECTION CHECKLISTI F,RE
. � .. ,- 11,e --- -, � __M._ __ _
Haz-Mat Business Plan and Inventory Program
vwc�q M
(01�1
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
-5
t t iv� E e
J_ /V
ADDRESS
50
PHONE NO.
i-3Da- L655
NO OF EMPLOYEES
FACILITY NTACT
Zvc-Zi
BUSINESS ID NUMBER
/502,/00 -3 5 3
Consent to Inspect Name/Title
Section y: •Hazardous Materials Susirtess Plan and Inventory Program
� ROUTINE ❑ COMBINED ❑JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance) OPERATION
COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC: 505.1,BMC: 15 .52.020)
❑
APPROPRIATE PERMIT ON HAND (SMC: 15.65.080)
..11
,DI
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404a
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
g
C
in
❑
1VEI4FIGAYI&'OF LOCATION (CCR:2729.2)
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑"
SAFETY DATA SHEET AV (CCR: 2729.2(3)(b))
)9
❑
VE9IElC6710N .OF..HAZIV- aRAINING; f (CCR: 2732)
❑
- ;VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
\®
❑
EMERGENCY PROCEDURES ADEQUATE (CCR:27311:.
❑
CONTAINERS PROPERLY LABELED (CCR: 6626. ( C: 50„.5)
'4 t
1
❑
HOUSEKI�FPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND !` (CCR: 27292 Y (3))
ANY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
O
C
r.
Explain:
'
r nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct
the violation(s) noted above by
Signature (that all violations hav een corrected as noted)
• Within
5 days of correcting all of the violations, sign and return a copy of this page to:
/J _ 9
Bakersfield
Fire Dept., Prevention Services, 2101 H Street, California 93301
/
Date
While — Business
Copy Yellow — Business Copy to 1,e Sent in a etum tdCaplinnen Pink Prevention
Services Copy M2155 (Rev 1114)
r Z %A