HomeMy WebLinkAbout8605 CAMINO MEDIA HMBP 6.12.15BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
jF! 2101 H Street
Fi1RE
R FN F Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326
-3979
Fax: (661) 852-2171
FACILITY NAME INSP CTION DATE INSPECTION TIME
A
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
Ivie; o
I EV ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C V
C=Compliance) OPERATION
COMMENTS
V=Violation
[Y ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
E ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS (OCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1:1
VERIFICATION OF LOCATION (CCR: 2729.2)
E!, ❑
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))
EY ❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
ff ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
[a ❑
HOUSEKEEPING (CFC: 304.1)
EI ❑
FIRE PROTECTION (CFC: 903 & 906)
[3 ❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 9*NO
q"
Explain:
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
Signature that all violations 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)