Loading...
HomeMy WebLinkAbout831 34TH ST HMBP 6.1.15IF BAKERSFIELD FIRE DEPT. UNIFIED PROGRAM a2S Prevention Services INSPECTION CHECKLIST 2101 H Street Bakersfield, CA 93301 Haz -Mat Business Plan and Inventory Program Tel.: (6626- 3�979� 3 Pax- TO) 852 -2171 FACILI . NAME INSPECTION DATE INSPECTION TIME �r , . >'i+ ''�'",�° �'.:t' �y �,;W'�•�"'�,,:•,.' ra° A� .... �a �` � mil" � .. ADDRESS E PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER '. S Consent to Inspect Name /Title ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C= Compliance ( ) OPERATION V= Violation COMMENTS ❑r ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ ❑"• APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) -- C ,--- ❑ ❑" CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ ET" BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) C "" ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) ❑ "" � ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) 1 Oy" ❑ VERIFICATION OF LOCATION (CCR: 2729.2) 111" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ®"� ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) ,., x-, 's. •" . ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) ❑ 010 PROCEDURES ADEQUATE (CCR: 2731) ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) ❑ C HOUSEKEEPING (CFC: 304.1) 4J` ❑ FIRE PROTECTION m (CFC: 903 & 906) ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) ANY HAZARDOUS WASTE ON SITE? YES ❑ NO Explain: i nature of Receipt: POST INSPECTION INSTRUCTIONS YOR RETUR N-'fu-COMPLIANCE: 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 White -Business Copy Yellow - Business Copy to be Sent in after return to Compliance Signature (that all violations have been corrected as noted) Date Pink Prevention Services Copy FD2155 (Rev 1/14) 3f iJ fi