HomeMy WebLinkAbout13703 VIA LA MADERA HMBP 2.13.15UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
L
ADDRESS I
FACILITY CONTACT
-
V1C.
BAKERSFIELD FIRE DEPT.
Prevention Services
F rA l ° 2101 H Street
Bakersfield , CA 93301
INSPECTIQN DATE (INSPECTION TIME
NO. NO OF EMPLOYEES
Section 1: Hazardous Materials Business Plan and Inventory Program
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I %fi ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( c =compiance) OPERATION
V= Violation
COMMENTS
30
❑
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPECTIQN DATE (INSPECTION TIME
NO. NO OF EMPLOYEES
Section 1: Hazardous Materials Business Plan and Inventory Program
--
I %fi ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( c =compiance) OPERATION
V= Violation
COMMENTS
30
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15,52.020)
la
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
.g
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(GCR:2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 27
❑
❑
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 (CCR2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (1); 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:
Slanature or Receipt:
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S�J"' /4P /W3PE�UTIUF MINSTKUUIlUNh NUH Khl UHN- 1vcvlwrr.uu�a.c:
• 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
Whim - Business Copy Yellow - ri.,nae Copy tub Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pia Pmwrsion Services Copy
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