HomeMy WebLinkAboutHMBP 5/24/2017Grp BAKERSFIELD FIRE DEPT.
Prevention Services
H H It s OF r I) 2101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST PINE Bakersfield, CA 93301
A lR TAli Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
cif *r..a.+ * w. T-
444
COMMENT
ADDRESS -� §
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
APPROPRIATE PERMIT ON HAND (BM
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY MMULTI-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 (C
R: 2729.1)
101000$
r° r
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
fi�
CORRECT OCCUPANCY
(CBC:401)
VERIFICATION OF INVENTORY MATERIALS (C
CR: 2729.3)
1010004
¢
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
VERIFICATION OF LOCATION (CC
R: 2729.2)
}sK
PROPER SEGREGATION OF MATERIAL (C
FC: 2704.1)
F
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b
VERIFICATION OF HAZ MAT TRAINING (OCR:
2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
(
$�
EMERGENCY PROCEDURES ADEQUATE
CCR: 2731)
1010010 .
~,
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), C
FC: 2703.5)
3030007
HOUSEKEEPING i
CFC:304.1)
� A
s
z f.
FIRE PROTECTION (CF C:
903 & 906)
3030032
g
4r tom}
SITE DIAGRAM ADEQUATE & ON HAND (CC
R: 2729.2)
1010005
ANY H A Z A R D`O U S 'WASTE ON SITE? ❑ YES SCI NO
Signature of Receipt
Explain:`K
-” q
Inspector: d °q 2 , .L - e : �� �� A-1
POST INSPECTION INSTRUCTIONS: �° c
a Correct the violation(s) noted above by € '
• Within 5 days of correcting all of the violations, sign and return a copy of this I iage 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 - evention Services FD2155 (Rev 8H14)