HomeMy WebLinkAbout11500 BRIMHALL RD HMBP 2.13.15UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
H EHSPI D
ARr M r
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C0 Wokor Sec o� ce
INSP
Io�v DATE
� 1 �5
INSPECTION TIME
ADDRESS � 50
I J (3 it_1 M q-A 11.
PHO E NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
onsent to Inspect Name /Title
Section 1: Hazardous Materials Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
= omphancs) OPERATION
V= Violation
COMMENTS
❑
VISIBLEADDRESS (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)
qb
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR:2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.
❑
❑
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))
Lk F) 1
, 1
El
11
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))
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
xplain:
Signature
eoei t:
PO PECTIONdNSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
u
• Correct the violations) 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
Signature (that all violations have been corrected as noted)
Date
White— Bu,ine,x CO' Yellow - BOIines, Cnpy mb Sent m,ftev ntnm m Compliance Pink Pre.wm Service, C., F 2155 (Rev 1 1141