HomeMy WebLinkAbout11105 LEWELLING ST HMBP 2.17.15BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST " ` F "' ` ° 2101 HStreet
FIRE
DEARTM - T Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program 441W Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS 1 1' O PHONE NO. NO OF EMPLOYEES
i.e. ..J Q►� , �G -S+
FACILITY CONTACT
:onsent to Inspect N<
Section 1: Hazardous Materials Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C =Compliance OPERATION
V= Violation
COMMENTS
\�
� PO
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
,•;��
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.060)
QI
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 27 9.3)
❑
❑
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)
❑
❑
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
xplain:
7
Signature of Receipt:
YUJ'I:1WS'I'L�'1.; I ION tND'I KUU I1VNb r VK K1i1 UKIV-1 V- a.Vlgr>t.uu�a,a:
• 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
While - Business Copy Yellow - Business Capy I" M sm, in after M.. to CmnpH.
Signature (that all violations have been corrected as noted)
Date
PiN+Pre,mian Sc wee Copy
M2155 (Rev 1114)