HomeMy WebLinkAbout8200 STOCKDALE HWY_HMBP 6.3.1411501'q i Ceps - cV
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
a
2101 H Street
Bakersfield, CA 93301
FACILITY NAME
Vii,; 'C' l -r-
V
C= Compliance OPERATION
V= Violation
INSPECTION DATE
(r. S /t/
INSPECTION TIME
/3-3 0
ADDRESS
—mac uT�+�Lr
/45
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
PHONE NO.
/Z
NO OF MPLOYEES
FACILITY CONTACT
z te t'1 T�
-1z' L
(BMC: 15.65.080)
BUSINESS ID NUMBER
s~s"
Consent to Inspect Name /Title
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
Section 1: '.I•iazartlotls Materials Business. Plan and Inpeniory Pt ogTAM .
' ROUTINE ❑ COMBINED
❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
J
1/J
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
®
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
®
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR:2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
XJ
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(6))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
1�
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
1
13
FIRE PROTECTION
(CFC: 903 & 906)
/
{u
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? ❑ YES
NO
xplain:
SigniLture of Receipt:
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IUIN'tIli t7AiNL OWIll t3RN!Yi�L`6Y9Dl:i �1Ti�0LIC�a�Dlu1111/;L`CN�
• orrec[ he violation(s) noted above by
Within 5 days of correcting all of the violations, sign and return a copy of this page to:
• k Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Basinev, Copy to M Sent in after return to Compliance pill: Prevention Services Cap, M2[55 (Rev 1/14)