HomeMy WebLinkAbout6647 MING AVE HMBP 6.9.15UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Section 1: hazardous Materials Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
W Violation
INSPECTION DATE
INSPECTION TIME
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
PHONNO.
NO OF EMPLOYEES
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
El BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1)
Consent to Inspect Name/Title
Section 1: hazardous Materials Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C= Compliance OPERATION
W Violation
COMMENTS
(L
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
C ❑R --URD RASEq..EQ THE CURRENT CALENDAR YEAR (H &S 25404(e)
El BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729.1)
t❑__-
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
P❑ 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)
7e J. J -,{
7 / D
El CONTAINERS PROPERLY LABELED (CCR: 66262.34 (q; 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 jl5 E),
Explain:
i natureof Recei t: \
POST INSPECTION 1NS'I'RUCTIUNS PDX rte •runty- rO- r.vmrt,u+i.v,c:
• 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)
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD4155(Re, 1/14)