HomeMy WebLinkAbout4600 RUDNICK CT HMBP 2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
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FIRE
ARTM T
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
suecmalz. L
INSPECTI N DATE
(_ 14 Z 5 '-
INSPECTION TIME
vs
ADDRESS
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PHO E NO.
NO OF EMPLOYEES
FACILITY CONTACT
QwG / � l o l M li-Ss Ar
/-//s AnAn(_�5;�)
'BUSINESS ID NUMBER
Consent to Inspect Name /Title
00 CAS Of
6111
ceb S- Jl'p
Section 1: Hazardous Materials
Business Plan and Inventory Program
❑
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
Cl MULTI - AGENCY
❑ COMPLAINT ❑ RE-
INSPECTION
C
v
C= Compliance OPERATION
V= Violation
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMG 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)
❑
❑
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 (t); 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
Explain:
AID
/Q./� //III. Ar"ie
1 natureof Recei t:
POSTE SPECTIONINSTRUCTIONS FOR RETURN- TO- CONIPLIANCEi
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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
*9, %41._ 1r3j I'/
Signature ((h Will violations have been corrected as noted)
Date
Whim -13 LmeeCopy Ydlmv— Binlnca,CopytobeS.1 in afarrcwrn m COmpOnnee Pink Prevemton Services Copy M2155 (RC, I /I4)