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HomeMy WebLinkAbout5801 ALPINE FALLS HMBP 2.17.15UNIFIED PROGRAM INSPECTION CHECKLIST Haz -Mat Business Plan and Inventory Program U {_ -. F f s r i P F/AE ,EPA ATM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME Cq` Wq�r i Sot v� c C �31r - L 210 INS CTION 'L \`) ATE 1 INSPECTION TIME ADDRESS 41601 �, 1 {� C v Q 1, i HON NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title F_ _ _ __. Section 1: Hazardous Materials Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v ( C= Compliance OPERATION V= Violation COMMENTS p LM ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) kJ:E)❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 4A ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729 ❑ ❑ 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)) • ❑ 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)) ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: tore of Receipt: POSTINSPECTION I TRUCTIONS FOR RETURN -TO- COMPLIANCE: i • 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 Signature (that all violations have been corrected as noted) Date Whim - B.'inn c Copy Yellow - Busines%Copy to N, Sent in after rcmrn to Compliance Pink Pm to ion Services Copy M2155 (Rev 1/14)