HomeMy WebLinkAboutHMBP 5/19/2015{
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION y Hazardous Materials Business Plan
Insaection
BAKERSFIELD FIRE DEPT.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS t
v-U 4
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
, i. ai
�£^;^SY.. .., ,.rys:
,.�. c.. .... L a4.
�e
. 1 , °', n'a. .... ,x. ?.%a. sK � �, J. a°�. ,.. >_.. r. >l , . , xt' .� ....!•r` R.,.��i.Z . ta>r �; w.sx '. ,.. A ,vii) f) _ bhW ., vo' ° „a
Y, ... � � .e ,s. v „ .., �. ... A T� ,... s. . °, �. c,�.. 3*E +o:. k ,.. ° c,•:.. -�� ., ,.� m �:. ui
.,«.. am,.. :r.'j Yip: ,. )- '.s' „Z, � �� .xw �,. ....., ... s. �xs , .. .. .. , ..., ' x .� , .? < ,,� , _ ”` as'i d ,. $.. ✓, `�.. ... d'.a '�:
3 .b,., oq ia.., r .d'� �,. ;«. .�. Y a R' 5 � �. � � �` .a`rr ✓S `�.,
,.. �,.., ,.,.,.., �.. W,a- °Sr4 „xta<..�.n.T �Cfi�'is9ak,� a "�?...�'e �x a,� ,, us. 4 r. •: .�1... ''[ :. . , ,�iv�`�i �... 4, ., a r� ¢s i s .i:... r ,.
9, ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Comphance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
x
/APPROPRIATE PERMIT ON HAND (BMC: 15.65..080)
3010001.
�r
't
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
.., �. �=
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
�.
r
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION.OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
.1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
?- -
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
rr_
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
i
CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5)
3030007
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
i ature'ofRecei t
Explain:
Inspector.
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s). noted above by
p
• 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)