HomeMy WebLinkAbout4301 YEAGER WAY HMBP 6.30.14UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
Iltcco-
FACTI Y
BAKERSFIELD FIRE DEPT.
( C= Compliance OPERATION
V= Violation
Prevention Services
A exsr` I`n
PJRB
2101HStreet
ARrer r
Bakersfield, CA 93301
r
Tel.: (661) 326 -3979
❑
Fax: (661) 852 -2171
FACTI Y
NAME
( C= Compliance OPERATION
V= Violation
INSPECTION DATE
INSPECTION TIME
1
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
r
❑
ADD
PHONE NIO.
NO OF EMPLOYEES
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
n w C j P C
' \ U� 7-
1/dJ
FACILITYONTAOT
BUSINESS PLAN CONTACT INFORMATION ACCURATE
BUSINESS ID NUMBER
bl
(
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Consent to Inspect NamelTitle
❑
VERIFICATION OF QUANTITIES
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
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
r
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
n w C j P C
' \ U� 7-
1/dJ
El
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
bl
(
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
I�1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
I.yl
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
L
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR:2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
,10
fLJ
❑
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:
Signature of Receipt: i
oa f
i
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
i
Signae re (that all violations have been corrected as noted)
ILI
Date
White, — Bneieeve Capy Yellow — Business Copy to 1w Sent in alter return to Compliance Pill Prevention Servieea Copy M2155 (Rev 1/14)