HomeMy WebLinkAbout6801 WHITE LN HMBP 6.18.15UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
aBAKERSFIELD FIRE DEPT.
I Prevention Services
--------------- ..... .
FIRE 2101 H Street
A RFM r
ARTM r Bakersfield, CA 93301
r
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY YAME V
I-P
INSPECTION DATE
INSPECTION TIME
COMMENTS
Q
❑
ADDRES's
PHONE I NO.
NO OF EMPLOYEES
❑
❑
APPROPRIATE PERMIT ON HAND (BMC:- 15.65.080)
FACILITY CONTACT fyyk 0 Al
6) - -4
BUSINESS ID NUMBER
N
1:1
Consent to Inspect Name/Title
ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION.
C
v
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
❑
'VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND (BMC:- 15.65.080)
❑
1:1
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
F-1
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
El
El
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
P.
Q
1:1
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
1771
VERIFICATION OF LOCATION (CCR: 2729.2)
1:1
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑
1:1
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1:1
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
1:1
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING (CFC: 304.1)
❑
❑
FIRE PROTECTION (CFC: 903 & 906)
1-71
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
S* nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
7AP
• Correct the violation(s) noted above by Signat e (tYlt all iolaiions have been corrected as noted)
• 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
Date
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)