HomeMy WebLinkAbout4150 MEXICALI DR HMBP 2015F
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
FA�I ITY NAME ,
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FACILITY INTACT 1
Consent to'lnspect NamefiTitle
t BAKERSFIELD FIRE DEPT.
Prevention Services
E__. R S EA. .., n
FIRE 2101 H Street
ARTM T
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPECTION DATE INSPECT4 N TIME
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PHQ�IEOb NO ZOF EMPLOYEES
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BUSINESS ID NUMBER
Explain:
SY nature of Receipt: >'
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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
•Seem at violations have been corrected as noted)
bate.
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
( C= Compliance) OPERATION
l
COMMENTS
V_Violation
❑
VISIBLE ADDRESS (CFC: 505.1,
BMC: 15.52.020)
Leh
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
C
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS . °
(CCR: 2729.3)
❑
VER'1F16XTION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
JP.
❑
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)
. 171
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
7
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NYtHAZA-RDO'US
WA- STE,vON SITE? YES` ❑
NO
d'
Explain:
SY nature of Receipt: >'
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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
•Seem at violations have been corrected as noted)
bate.
Pink Prevention Services Copy FD2155 (Rev 1/14)