HomeMy WebLinkAbout5800 SEAWARD DR HMBP 2.13.15 (2)UNIFIED
Haz-Mat 13,
BAKERSFIELD FIRE DEPT.
Prevention Services
R F
I P
1 �9 L T.
PROGRAM INSPECTION CHECKLIST E_ F , 2101 H Street
RT, 7,
FIRE
ARTM T Bakersfield, CA 93301
isiness Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSRECTI'QN DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspebt Name/Title
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
0 Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 day 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
kF=S ROUTINE
❑ COMBINED ❑ JOINT AGENCY
1:1 MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance OPERATION
V=Violation
COMMENTS
❑
VISIBLE
SIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE
PERMIT ON HAND
(BMC: 15.65.080)
El,
❑
CERS
1
UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
EL
❑
BUSINESS
PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑
VERIFICATION
OF INVENTORY MATERIALS
(CCR: 27290"
❑
❑
VERIFICATION
OF QUANTITIES
(CCR: 2729.4)
VERIFICATION
OF LOCATION
(CCR: 2729.2)
1:1
1:1
PROPER
SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY
DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b'
1.
❑
❑
VERIFICATION
OF HAZ MAT TRAINING
❑
❑
VERIFICATION
OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
Aj c-
❑
❑
EMERGENCY
PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
C6NTAINERS
PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
t
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE
PROTECTION
1
(CFC: 903 & 906)
j
❑
❑
SIB
E DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
NO
Explain:
I
I
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
0 Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
Within 5 day 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)