HomeMy WebLinkAbout8201 MING AVE HMBP 6.23.15BAKERSFIELD FIRE DEPT.
Prevention Services
A...: ... S . -.. n
UNIFIED PROGRAM INSPECTION CHECKLIST1111-1
12 R FIRE -F I.
ARTM 2101 H Street
f
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
r Fax: (661) 852 -2171
F ILITY NAME V INSPECTION DATE INSPECTION TIME
' .
ADDRESS PHONE NO. � NO OF EMPLOYEES
f? ¢
Ve
FACILITY CONTAC_f BUSINESS ID NUMBER
Consent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( U =compliance) OPERATION
V= Violation
COMMENTS
❑
❑
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)
1 ' f
•
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
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)
El
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
Q'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
Signature of Receipt:
POST INSPECTION
INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
INA a
• Correct the violation(s) noted above by Signat
• 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
violations have been corrected as noted)
FD2155 (Rev 1/14)