HomeMy WebLinkAbout6720 SCHIRRA CT HMBP 20154
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST I B F R; F
I
P
FIRE 2101 2101 H Street
gRTM
Bakersfield, CA 93301
A4001
Haz-Mat Business Plan and Inventory Program 11 Tel.: (661) 3263979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION§DATE
INSPE� :ION TIME
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
J
J
ADDRE&b
PHONE NO
NO OF EMPLOYEES
My
" 0
L ❑
pk,
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
t
onse-M to In'§pect Name/Title,,_
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
C
V
r u=uompnance) OPERATION
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
COMMENTS
�
El,
V=Violation
My
" 0
L ❑
pk,
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
t
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
311,
El
❑
E�
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
FIRE PROTECTION (CFC: 903 & 906)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
1:1
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
[I]
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)1
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Date
Pink Prevention Services Copy
have been corrected as noted)
FD2155 (Rev 1/14)
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
�
El,
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
1:1
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
t
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
311,
El
HOUSEKEEPING (CFC: 304.1)
�6,
❑
FIRE PROTECTION (CFC: 903 & 906)
t!
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Date
Pink Prevention Services Copy
have been corrected as noted)
FD2155 (Rev 1/14)