HomeMy WebLinkAbout10510 STOCKDALE HWY HMBP 6.10.15UNIFIED PROGRAM INSPECTION CHECKLIST
. ... .. ..............
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
0 �' -7
FACILITY CONTACT
Q-414D
Jonsent to Inspect Name/Title
?16 A
BAKERSFIELD FIRE DEPT.
F R S F T Prevention Services
............. P
2101 H Street
B A aRITN T Bakersfield, CA 93301
FIRE
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
I j I 'd 1 "�
................................ __', . ...... ....... ... ...............
❑ ROUTINE W..�,OMBINED 0 I JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPL....A....I..N.....T .. ....................
❑ RE-INSPECTION
C
V
�=uompiiance OPERATION
V=Violation
(CCR: 2731)
COMMENTS
X
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CCR: 66262.34 (f); CFC: 5003.5)
N[-L]
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15-65.080)
(CFC: 304.1)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
(CFC: 903 & 906)
,❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
(CCR: 2729.2 (3))
)E]
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
-n
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
J0
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
In
1:1
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
U ❑ 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))
IQ
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
V
❑
FIRE PROTECTION
(CFC: 903 & 906)
'�
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain: 1— 1 e
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
Sigp,Atud'(that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)