HomeMy WebLinkAbout1405 COMMERICAL WAY STE 100 HMBP 6.11.1411A,q cerac4p "Co
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street "°
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
ADDRESS
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PHONE NO.
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NO OF EMPLOYEES
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FACILITY CONTACT
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BUSINESS ID NUMBER �.•�
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onsent to Inspect Name /Title
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Section 1; Hazardous Materials Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C =Compliance OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404x)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑
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)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2a)(b))
aV ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (I); CFC: 5003.5)
o ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ',,PYES ❑
NO
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xplain:
Sitanature of Receipt:
POST INSPECTION INS 'fKUUFIUNS Ii OR KETUKN- I0- CU1V1P{.IArvCU:
• Correct the violations) 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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow— Business Copy to he Sent in after return to Compliance Pink Prevention Services Copy F'D2155(Rev 1/14)
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