HomeMy WebLinkAboutHMBP 5/18/2017UNIFIED PROGRAM INSPECTION CHECKIJ
SECTION 1: Hazardous Materials Business
Inspection
A9 Zom BAKERSFIELD FIRE DEPT-.
FACILITY NAME I
INSP TI_ON DATE I
INSPECTION TIME
ADDRESS P
PHONE NO. N
NO OF EMPLOYEES
FACILITY CONTACT U
USINESS ID NUMBER
Consent to Inspect Name/Title
00
*Y.i s 0. ,, v � i :., .y; .4 ";3 f ac a £.. t � y AMR:: l`t \i .y E.. r 'C C �:• r
.,. b ... 12
K � � � Sect>lon.1 Business P1a ,and In�enfio ,.Pro gram �r �,� y�, � .� 3
ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION CERS
V =Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BM(-,: 15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008
VISIBLE ADDRESS (CFC: 505.1, BM C: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL ( FC: 2704.1)
%� VERIFICATION OF SDS AVAILABILITY (CCR: 29.2(3)(b))
�►t� -���,. SD_S 0-j S V`i`la
VERIFICATION OF HAZ MAT TRAINING CCR: 2732) 1020002
c VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES ( R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), QFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1) N O
�y FIRE PROTECTION (CF (' : 903 & 906}
...../�' 3030032 ,,;,�'C fi CC—
SITE DIAGRAM ADEQUATE & ON HAND (CR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO I Oignature ofRecei t
Explain: Ll 14- ,
Inspector: > 1�—I� D �''
POST INSPECTION INSTRUCTIONS: I 1
• Correct the violation(s) noted above by kr
• Within 5 days of correcting all of the violations, sign and return a copy of this age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
White — Business Copy Yellow — Station Copy Pink — Ilrevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8//14)
Inspector: > 1�—I� D �''
POST INSPECTION INSTRUCTIONS: I 1
• Correct the violation(s) noted above by kr
• Within 5 days of correcting all of the violations, sign and return a copy of this age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
White — Business Copy Yellow — Station Copy Pink — Ilrevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8//14)