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HomeMy WebLinkAbout6201 WHITE LN HMBP 6.9.15UNIFIED PROGRAM INSPECTION CHECKLIST Haz-Mat Business Plan and Inventory Program BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME ////�� INSPECTION DATE INSPECTION TIME ADDRESS Ge iH3 F � Il f PHONE O. 1- reel - & I i i NO OF EIy1P,LOYEES / (G 'PXCILITY CONTACT BUSINESS ID NUMBER onsent to Inspect ame /Title Section 1: Hazardous Materials Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINTS ❑ RE- INSPECTION C V ( C =Compliance) OPERATION V= Violation COMMENTS r� ❑ VISIBLE 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) !� ) ❑' ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1). -' f7 ❑ VERIFICATION OF INVENTORY MATERIALS (CGR: 2729.3) �.❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4) El VERIFICATION OF LOCATION (CCR: 2729.2) P ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) El ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) r0 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) w© ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) ,0 ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5) J] ❑ 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: '} / / ft'�r -.: }r"�w"I✓�° �/Jr / f F.+"�F'Zs.J � i�w u i nature of Receipt: f w .� -• POST INSPECTION INSTRUCTIONS FOR RETURN- TO- CVmrLtANVC : �: ✓. tire' • 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 White - Business Copy Yellow - Business Copy to be Son[ it' n[te<<mum 10 COnlpaollee Ptnk Revemlon Services Copy FD2155(Rev 1114)