HomeMy WebLinkAbout8501 CAMINO MEDIA HMBP 6.12.15UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
FACILITY NAME I
INSPECTION DATE I
INSPECTION TIME
r
e
ADDRESS P
PHONE NO. N
NO OF EMPLOYEES
FACILITY CONTACT B
BUSINESS ID NUMBER
Consent to Inspect Name/Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C v C=Compliance) OPERATION COMMENTS
V=Violation
❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) A'2 ai c,ra
❑ 1:1 APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
❑ 171 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)
❑ ❑ 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)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ 1:1 HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain: Si nature of Receipt:
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
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
" FD2155 (Rev 1/14)
• 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
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
" FD2155 (Rev 1/14)