HomeMy WebLinkAbout647 CASA LOMA DR HMBP 2015UNIFIED 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 D TE
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INSPECTIONTIME
ADDRESS
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PHO NO.
O OF EMPLOYEES
FACILITY CONTACT// BUSINESS ID NUMBER
onsent to Inspect Name/Title
Section 1: Hazardous Materials Business Plan and Inventory Program
❑
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE INSPECTION
C
V
( - ortipl""") OPERATION
V= Violation
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.060)
❑
❑
CEAS 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 (Q; CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903'8, 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
NO
Explain:
Shanature of Receipt: N(J
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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
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Signature (that all violations have been corrected as noted)
Date
White - Business Copy Yellow - Business Copy to Ito Sent in after Mum to Campliarce Pidt Prevention Services Copy M2155 (Rev 11147