HomeMy WebLinkAbout5143 OFFICE PARK DR HMBP 6.20.14')63 /) IA' ffb�IAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
Prevention Services
B "AR L
2101 H Street
r Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACIL1,ThY NAME }� ( ) �4
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INSPECTION DATE
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INSPECTION TIME
7✓6'.rw
ADDRESS r+(^ }�
PHONE NO.
47rJ�
NO OF EMPLOYEES
FACILITY CONTACT f y,` y— %
BUSINES`S ID NUMBER
J`7
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Cia CP
C
onsent to Inspect Name /Title
( C =Compliance OPERATION
V= Violation
COMMENTS
❑
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
Signatures (that all violations have been corrected as noted)
fF / ---- Z 2GS /4f
Date
Whue — BUIincs Capy Yellow — Burns.,, C.1y 10 b Sen' in oaer re W. m Complinnce P1M Prevemlon Suviaes COPY PD2155 olav 1/14)
Section I. Hazardous Materials Business Plan and Inventory Program
I� .ROUTINE
❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT Cl RE- INSPECTION
C
vv
( C =Compliance OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
a.S { �- J tr•� l^2 (7' l..
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
1 1. /�. M f C C J C-
J
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (OCR: 2729.1)
0
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
fill
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Ul
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
®1
/7�
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))!
i N
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
,fitt. -O
Nil.
❑
HOUSEKEEPING
(CFC. 304.1)
❑
FIRE PROTECTION -
(CFC: 903 & 906)
e� ®..r
Cl
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS
WASTE ON SITE? ❑YES
NO
Explain: / 5�
IGY r
)
i nature ofRecei t: /
Lt
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
Signatures (that all violations have been corrected as noted)
fF / ---- Z 2GS /4f
Date
Whue — BUIincs Capy Yellow — Burns.,, C.1y 10 b Sen' in oaer re W. m Complinnce P1M Prevemlon Suviaes COPY PD2155 olav 1/14)