HomeMy WebLinkAbout402 CALIFORNIA AVE HMBP _NLIBUNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME i
INSPECTION DATE
INSPECTION TIME
ADDRESS 4o
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
1 1:1 ROUTINE ❑ COMBINED ❑ JOINT AGENCY 1:1 MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
❑
VISIBLE ADDRESS (CFO: 505.1, BMC: 15-52.020)
1:1
1:1
APPROPRIATE PERMIT ON HAND (BMC: 15,65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
1:1
1:1
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)
1:1
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
1:1
❑
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:
I
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)