HomeMy WebLinkAbout8200 STOCKDALE HWY M-9 HMBP 2015BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST ";JRIrN Prevention Services
2101 H Street
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. qO OF MPLOYEES
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FACILITY CONTACT I USINESS ID NUMBER
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Consent to Inspect Nameffile
Section 1: Hazardous Materials Business Plan and Inventory Program
❑ ROUTINE— ❑ COMBINED ❑ JOINTAGENCV ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
i
C v
( C =Compliance OPERATION
V= Violation
COMMENTS
M
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.060)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
1U q
A t.o / 0 /
i rV1 l G ?
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
U 4v2�G Or T
T K � ._--
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
edio ❑
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 (CCR2731(c))
hIG, ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
t e
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (t); CFC: 5003.5)
O ! rn
iii is6b �� 1+.iriS
i
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
_5�0 1 e,l h- J
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS
WASTE ON SITE? ❑ YES 9610
xplai n:
i tore of Recei k
FUST INSFEU'll ION INS 'I XUCI IONS FUR HkA URN- 1'U- CUMFLIANOL' :
• Correct the violation(s) noted above by 7— / 15— / 5
• 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
1-'
Signature (that all violations have been corrected as noted)
Date
WM¢ — Business Copy Yellow — Business Copy to 1,e Sent in after return to Compliawe Pink Prevention Services Copy FD2155 (Rev t /14)