HomeMy WebLinkAbout3400 N SILLECT AVE HMBP 2.13.15UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
�/ BAKERSFIELD FIRE DEPT.
/Z-- Prevention Services
11AK F G; PI LI.D
FIRE 2101 H Street
DEPARTMENT Bakersfield, CA 93301
,ANWI Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
CPS W tRa� S�� c e °
I PE TION DATE
N �S
INSPECTION TIME
ADDRESS
jqoo
PHO E N6.
NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Section 1: Hazardous Materials Business Plan and Inventory Program
_
❑
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C
v
( = Compliance) OPERATION
V= Vlolation
COMMENTS
(�
❑
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)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 272
❑
❑
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
(CCR2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
Sa 15
❑
❑
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))
NY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
NO
xplain:
i
lure of Receipt:
POSTiNSPC("CC INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
M )
• 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
Signature (that all violations have been corrected as noted)
Date
White — Businem Copy Yellow — Busimes Copy to M Sent in after mum to Compliance Pink Prevention Servicee, C., M2155 (Rev 1 /141