HomeMy WebLinkAbout2925 MOSASCO ST #B HMBP 2.19.15UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
P.RSPI n
F/R1r 2101 H Street
AR7M f Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPE TIO DATE
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INSPECTION TIME
ADDRESS
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PHONE NO.
7.�SZS
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name /Title
Section 1: Hazardous Materials Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ dOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
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( C= Compliance) OPERATION
V= Violation
COMMENTS
LP ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ '°ll
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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1(ydMi /- Iv
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$b ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
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IS), ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
VERIFICATION OF LOCATION
(CCR: 2729.2)
y❑•0❑
1?• ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
NPs .�•O 4
-
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
13, ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
IY ❑
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? El YES N�%O
xplain:
i M ecei t•
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by / j
• 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 (tha all v1ol tions ha een corrected as noted)
Date�j�/
White - Rusin sCopy Yellow - aasineas C., to i,e Sent is after remme Compliance Pik Prevention Serviea Copy M2155 (Rev 1 114)