HomeMy WebLinkAbout7001 WHITE LN HMBP 6.19.15i
aRrN BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services 2101 H Street
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FA 0 TY NAME k f INSPECTION DATE INSPECTION TIME
ADQRgSS Eqq PHONE NO. NO OF EMPLOYEES
Fri ell
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
'C
V
( C= Compliance) OPERATION
COMMENTS
V= Violation
❑
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)
19
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
19
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
r.'
El
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑�
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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El
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
i
7
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
.r`
El
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING (CFC: 304.1).
1F.
x:
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ® YES ❑ NO
Explain:
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:
/ 'q- - r ,-
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Apr
Date
White — Business
Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1114)