HomeMy WebLinkAboutHMBP 4/25/2016tb"
N. x, BAKERSFIELD FIRE DEPT.
f� 0. Y
v _ Prevention Services
S > �t, 0 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST rR Bakersfield, CA 93301
�1 it Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
-. Ins • , ion
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V_Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
PHONE '
NO.
O OF EMPLOYEES
FACILITY CONTACT
USINESS ID NUMBER
Consent to Inspect Name/Title
kr 2f3 .. , ,
;'.
,'tS s \,: (. k.. -Fe',a .. +�.Y . V. ,.. t. � .,f. .•�. r -:� -.: ...Y X s. r.. a '.. s. rte'
,N,s >. M'v ✓a. F, � z::�...s�;; ,.�, ^, '�.:`oy css as e.2 s,.. � j,i,., Y i. u: n:.� s �. .,.�:
�. �'...'� . ..... ,..n... ,. .. � �.. .e� , .. .. .. b2 ,.... ,.x zt;: vx : t � :?, >,... �;a ... ,. > i` rt•, .?� - -, x. y, - r` ,. Y�
- s � .v.. e ..'�:._ ,+.r ..... .. .. ... ..,., ., .. , _,.'•f a -�"a � ,� ...:. ,YS`t. '. ,�. -.. .,i§, r.,K; 4 k 4., .,i 4 Y,]/5 b hA a �� � ]��
..:�,. e„ .,ry,�z ..,, ,..�� ., .:, i. ,. . _. ...• ^. „ ..c o{�£ y_,n �. >h.., '..4: :"k d.s!'$ .�C �:X] .�,xF �.�i,.sa � i h�?:� ...ik
ICI ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C , V G=Uornpflance OPERATION
CERS
V_Violation; 1,11 Minor
Violation
COMMENT
.k'
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
"^
H"
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
er,
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
CORRECT OCCUPANCY' ``;� (CBC: 401)
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)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
.�
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
a �`a
z
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
s
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? >Q YES ❑ NO
Signaturiof Recei t
+rm
Explain:
• ..Y � s wurw M .
�y: K1, ,! Fm ,........ ..,"� .'r. R�r•• Er 7f rwe.... "y
.
inspector: f
POST INSPECTION INST 1 JCTIONS '
• Correct the violation(s) noted above by k�
• Within 5 days of correcting all of the violations; sign and return a copy of this page to: 9, Signature( tat 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 8//14)