HomeMy WebLinkAbout215 GOLDEN STATE HMBP 4.29.15aRTM BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
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Haz Mat Baseness Plan and Inventory Program Tel.: (661) 326 -3979
••� � Fax: (661) 852 -2171
FACILITY NAME a � INSPECTION DATE� INSPECTION TIME
ADDRESS ,�^� i � I� PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
onsent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
l C= Compliance) OPERATION
V= Violation
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
❑
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)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
❑
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 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
§ignature ecei t:
POS1' LNSPL+'(:'1'1VN 1NS•1'KUC:'1.1VNS 1+'VK FM;1'UKN- 1'V- UV1V11 ElLA1NU :
• 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 ll violations have been corrected as noted)
iT7i� —I- �'
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)