HomeMy WebLinkAbout4600 ASHE RD #316 HMBP 2015fARTM BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST S F i L. I7 RE 2101 H Street
t : Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPFCTIO DAB- INSPECTION-TIME
ADDRESS PH 3NE Nd. NO "OF PLOYEES
` '
1- - 0 o r
FACILITY CONTACT BUSINESS ID NUMBER
&. e
Consent to Inspect Name /Title
ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
COMMENTS
❑ 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 (f); CFC: 5003.5)
❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
1
ANY AZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain: i nature of Recei t:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been c erected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) "'
C
V
( u= uompnance) OPERATION
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)
❑
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)
COMMENTS
❑ 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 (f); CFC: 5003.5)
❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
1
ANY AZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain: i nature of Recei t:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been c erected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) "'