HomeMy WebLinkAbout5200 STOCKDALE HWY HMBP 6.21.14UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
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FIRE 2101 H Street
ARTM f Bakersfield, CA 93301
FACILITY NAME
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COMMENTS
INSPECTION DATE
INSPECTION TIME
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VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
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ADDRESS 7
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PHONE NO.72
NO OF EMPLOYEES
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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FACILITY CONTACT
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BUSINESS ID NUMBER
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PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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Hazardous Materials Eiusinsss Purr aid Inventory Program
7Y ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
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( C= Compliance OPERATION
COMMENTS
V= Violation
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VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
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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))
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WASTE ON SITE? �i ES ❑ NO
Explain:
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Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN- TO•COMPLIANCE:
• Correct
the violation(s) noted above by
Signature (that all violations have been corrected 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
R'hae — Business
Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Preeranon
Services Copy M2155 (Rev 1/14)