HomeMy WebLinkAbout5544 STOCKDALE HWY HMBP 6.21.14IIr�Itq lj�@�25 � 0-c-
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
a _
2101 H Street
Bakersfield, CA 93301
FACILITY NAME
/''
INSPECTION DATE
INSPECTION TIME
❑
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
('
LG S % > r f Y
❑
ADDRESS
".i
PHONE NO.r
NO OF EMPLOYEES
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
7 J
❑
FACILITY CONTACT
(CCR:2729.1)
BUSINESS ID NUMBER
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
onsent to Inspect Name /Title
(CCR: 2729.4)
❑
--7- --
(CCR: 2729.2)
❑
Section 1: Hazardous Mate�iols Business Plan Arid 1nv6ntory Program
,,SM ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
c C= Compliance OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFO: 505.1, BMC: 15.52.020)
('
LG S % > r f Y
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
11112-113 /1/o Ac-e_ tom.
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
7 J
❑
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))
n ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
El
HOUSEKEEPING
(CFC: 304.1)
�'
r-I ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS
WASTE ON SITE? »,J9eYES ❑
NO
-_
Explain:
!''ia.c ^t
J
i nature of Recei t:.- '_�'�`�(
�/C
F(Jb l LNn FhU 11V1V 1Nb I KU(:11VNJ 1' Vl(1(L� 1 Ul(tV -1 V -l; V1YlYLlANLC:
• Correct the violations) noted above by
• Within 5 days of connecting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (hat all violations have been corrected as noted)
Date
Whhe— Business Copy Yellow — Business Copy to be Sent in after return to Compliance Piok Prevention Services Copy PD2155(Aev 1/14)