HomeMy WebLinkAbout5350 HAGEMAN RD HMBP 2.13.15 (2)BAKERSFIELD FIRE DEPT.
prevention Services
H F R �q FIRE' I L
UNIFIED PROGRAM INSPECTION CHECKLIST 8 E... P 2101 H Street
FIRE
N
A aRrN r
Bakersfield, CA 93301
Haz-Mat E usiness Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME , l J M INSRECTI�\DATE INSPECTION TIME
Q I ZA
r
ADDRESS PHONL NO. OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to lnspe�t Name/Title
ROUTINE
0 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT * . RE- INSPECTION
C V
C=Compliance OPERATION
V=Violation
COMMENTS
-15,- r-1 V I
I �IBLE 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)
❑ BU
PLAN CONTACT INFORMATION ACCURATE (CC R: 2729. 1)
❑ ❑ VERIFICATION
OF INVENTORY MATERIALS (CCR: 2729.3)
❑ ❑ VERIFICATION
OF QUANTITIES (CCR: 2729.4)
❑ 1:1 VERIFICATION
OF LOCATION (CCR: 2729.2)
❑ ❑ PROPER
SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ ❑ SAFETY FETY
DATA SHEET AVAILABILITY (CCR: 27291.2(3)(b))
11 0 Vl�
I RIFICATION OF HAZ MAT TRAINING (CCR: 2732)
[.1 ❑ VERIFICATION
❑ ❑ EMERGENCY
❑ ❑ CONTAINERS
OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
PROCEDURES ADEQUATE (CCR: 2731)
NTAINERS PROPERLYLABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ ❑ HOUSEKEEPING
(CFC: 304.1)
❑' Ell FIRE
PROTECTION (CFC: 903 & 906)
❑ ❑ SI
IE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
NY HAZARDO�
S WASTE ON SITE? ❑ YES ❑ NO
Explain:
�ignatur"f
Receipt:
FOR RETURN-TO-COMPLIANCE:
• Correct the viclation(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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)