HomeMy WebLinkAbout3131 JEWETT HMBPBAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLi Prevention
Services
2101 H Street
�R
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
ADDRESS
FACILITY CONTACT
v
INSPECTION DATE
INSPECTION TIME
PHONE NO.
O OF EMPLOYEES
USINESS ID NUMBER
onsent to Inspect Name/Title
❑
❑
Section 1:
Hazardous Materials Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C- Compliance) OPERATION
V =Violation
COMMENTS
❑
❑
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
13
❑
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)
Gr t�
❑
❑
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 (p; CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
xplain:
Siumture of Recei t:
Fi'3 LvDlcl.aiul`I11151AUCIM-11IJ MUM MZ1 UXPI- IV -UVM UL NUL':
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: