HomeMy WebLinkAbout919 34TH ST STE B HMBP 5.20.14hub 0-L
U - �� v �cC> �C��I� BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
Prevention Services
2101 H Street
FfRE
AR rM f Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
S 10.1.4
INSPECTION TIME
!1c10 4ai
ADDRESS
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P ONE NO.
O OF EMPLOYEES
FACILITY CONTACT
( Av21 c C i�� �Cv
BUSINESS ID NUMBER
(vr s 7 7L1
Consent to Inspect Name/Title
1�� V 7 7,3
',Section is Hazardous Materials Business Plan and Ihventory'ProgCam
❑
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ 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)
❑ [5,
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
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COY ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
(4
19' ❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
Cr ❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
t.71 ❑
VERIFICATION OF LOCATION (CCR: 2729.2)
63-' ❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ B�
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
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12' ❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
El� ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
21 ❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
[5- ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
E�- ❑
HOUSEKEEPING (CFC: 304.1)
❑ Q,
FIRE PROTECTION (CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
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Signature offRece6L• `!
POST INSPECTION INSTRUCTIONS FOR RETURN =I'O- COMPLIANCE:
• Correct the violation(s) noted above by 4C L/ i
• 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
While - Business Copy Yellow- Dusircss Copy to beSem in aaer rewrn m Compliance
Signature (that all violations have been corrected as noted)
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Ding
Pink Prevention Services Copy FD2155 (Rev 1/ 4)
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