HomeMy WebLinkAbout25 UNION AVE HMBP 7.8.15UNIFIED
Haz-Mat B
BAKERSFIELD FIRE DEPT.
Prevention Services
B E R 8 F I
- t ;E
PROGRAM INSPECTION CHECKLIST! ...... .................... 2101 H Street
FIRE
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Bakersfield, CA 93301
usiness Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
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lNwfEdTjoN DATE
INSPECTQN TIME
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74-al/1",
ADDRPS
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RHONE NO.
0
NO OF EMPLOYEES
(CCR: 2729.2)
Da
❑ P
FACILITY CONTACT
k
(CFC: 5004.1)
BUSINESS ID NUMBER
iz.
❑ SI
FETY DATA SHEET AVAILABILITY
Consent to Inspect
Name/Title
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❑ V
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance OPERATION COMMENTS
� V=Violatlon
V VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3"" ❑ IAPPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ 99,FLS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
EI" ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
E ' -_ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑
❑ V1ERIFICATION
OF QUANTITIES
(CCR: 2729.4)
Ef
❑ V
RIFICATION OF LOCATION
(CCR: 2729.2)
Da
❑ P
OPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑ SI
FETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
ly,
❑ V
RIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
12�
❑ VERIFICATION
OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
Id
❑ E
ERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
"
3
❑ CONTAINERS
PROPERLY LABELED (CCR: 66262.34 (f); CFC:, 5003.5)
❑ H
DUSEKEEPING
(CFC: 304.1)
❑ FIRE
PROTECTION
(CFC: 903 & 906)
1�
❑ S
TE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARD6US
WASTE ON SITE? ❑ "YES
❑ NO
A
Explain:
imattike of ReceivtU_4�1"___,1,
POST INSPECTION
INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (t
• Within 5 da� s 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
W 111�
ations haV(
as noted)
FD2155 (Rev 1/14)