HomeMy WebLinkAbout900 OLD RIVER RD HMBP 6.10.2015aRrm 13AKERSFIELD FIRE DEPT''.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST. 2101 H Street
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
ROUTINE RF COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
-0
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
T
El
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
.Ef
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
4
.0
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
,El
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
Z
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
E5
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
Z
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
1:'
❑
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
0
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain:
Si nature of Receipt j
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)