HomeMy WebLinkAboutHMBP 3-14-16UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inenartinn
BAKERSFIELD FIRE DEPT.
FACILITY NAME t°
` *7
`f ...�
��';:i
INSPECTION DATE
- '...
INSPECTION TIME
e J/' ,.., "'^,•. .,..
� r 6 »{ P
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
a5.. �.: .. c.,.. \. 6. ' ` . , ,... .. E .wa. ,.. ..,f p. ; .z:E .: . °.ee.., . , : w . a» . .r k. .i .•� .. v.. x�''a x'w.. �. . ."�. Rs S U . «. .. te « : n.x,sx ' ..: •,§H. x.,q, . . ' . u s :.�.o. ,f. ,ii: � �, A . ... Y ` .5 ,g . e« e X .sr , Y3�,, :,..,>:.�<. .. . , : , x � ,. ° .,. . , ., . .k K' ' •H . . . xh. a.`i 'c + �C 5 ? x-.;.. sr,� ,ea'., k ...:...A. . ' .i:, > . .�h .,.. .2. .a'. «x:,,r',., ., i'�•x,s , L >.'^.
t , Y ....t:, . , sf ,� ra s: «r .i , ,. . ? r. .. < :n• -. � . r +?£+s..w.s.',e � ,f . ,.. . + +Z^r�%tda<: l@. •. . ' S.:,xx , ; .v3 .:,:,S •. ��". 3.^. m:'., .,.� �., P. . .:�!.«n S. . . « ;t . .v .n's ..r . e. d ,r, 4 , � . ,. •..d . k 'C• A a.3�«x.� ,3.{..:,.''a ., ,.: . , ;, ,. : '''Y,,ar'.x. R'e. ', '. »r r�C. `., . .�.. :' .,,, ,� F m k . i '.
,.-.. .e.nt . „ . � ' t W k ef` ',>,.,<... s.l .. . d . • ' I�'n , ei ,a . 3a.z'.. . ,Fu ,.a, . . ^ � k,, : ..p,. . . .. .� :4.„ ..c . .,+,: 'J . .,. v ,, l `\imyf u' t^. s .: x .^. v .x, . .• t',
., .', a .• , .� .
3.• ...
.'i
. s
.'
' L� o: L .. e,<,� . ,i?� ^, r.S:i, • �`., .. .... s ..v..., tCe. , ,....,, : .: • e,: n.. .v s..s _ n i ♦ .,. ... q. L :•v ..'�, . _. �4x .r:. ,. Y°' a �. Tea
.� .. .z�«s? s � � ms's\ rs, � s. ,€�x . �a^.`�,.� e „r z' . r �� ..£• � k .�;�:.�„„ a. •r,ca...,:
i
< . .�,,, , •° . , .3..� .), � ., , ,, b. , � � , nd iii- �Q � _ a, +axrn, �,
Q ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omplance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
3�' u
r✓����. y p q }}
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
}
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
A
CORRECT OCCUPANCY (CBC: 401)
` N
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
~A
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
x'
r
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
a•r
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF'ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
s ..
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
'b
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Oignature ofReceipt/
Explain:
Inspector•
POST INSPECTION INSTRUCTIONS:
• 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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention. Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8H14)