HomeMy WebLinkAbout6511 LAVENDER GATE DR HMBP 2.17.15BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST FfRe1 n 2101HStreet
r r
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME \ C�� — L,ZO� INS C\IO D E - INSPECTION TIME
ADDRESS 6s (, HONE NO. NO OF EMPLOYEES
NDAP� Gr ASE
FACILITY CONTACT BUSINESS ID NUMBER
Section 1: Hazardous Materials Business Plan and Inventory Program
IR) ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( c= Comprance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
10
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
93
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CC R:2 .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))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
Si7r 4,
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
NO
Explain:
Signature of Receipt:
POS,:EPtSPEC ION tNSrRUC'1'IUNS FOR KK "1'UKN= 1'Ud;UNH'LIANI:E:
• Correct the violation(s) noted above by
• Witbin 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 - Bucinens Cnpy m be Sem m after return m Compliance
Signature (that all violations have been corrected as noted)
Date
PiN Revemion S'rvka ' Copy
M2155 (Rev 1114)