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Home My WebLink AboutHMBP 10/19/2017UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1 Hazardous Materials Business Plan BMERSFIELD FIRE DEPT. FACILITY NAME - T w� aka INSPECTION DATE ,� '�'''� INSPECTION TIME a�� .,'� ,..� g,, "t, '` � „, i,u'`,., „�, ,,, {,.� •` .�� t ,.;� rr��.;� x �� ,� ,` COMMENT ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title �'., ....... t'.. <r �.. t ; ,�: g- .,�" x .... ,:� It , �„ r a .. . r.+s ,. � f , a � ..�,: , .v §z-.... • w.. x , �' '�#��'�, .?, E� .. � R� ,. a •`Y�7i. # k. s r �,€ , : s . a r � , ,�., :5_ � : �v, >,_�3 xfi• w$`. s,...> .., .'%, s. ,.. > a � t?xh �;.rYFS., ,.w� r<. 4.. ,� ::. #a, . ., .&, W .l �. ,. .vii ...]. -_,: s h. w..,. :; a .. i�.,,z.. .ka. . M ✓. .. .. z.. �£.s,.i°., 4e�, �:. k c, 2. �4.` r. .,. :.<d- .;s¢ .... `.. .5 '`� x_z:: i. ..e. .t .,4 .. N ..R.Nv4 �>v.�, r. ,.. wfi S ... �� ....� Y ...v,.; =t <�> ha. ....:. ... N ......,.. . , ♦ ,. \. _, t.. L t.: V K, f'S`.F' � 4 hY.+4 ¢ . .h.. �'a 2 'w . .r� .r ,M. ,,. 3. -..., m,..St,r�e,: .,... ,.. .} . k�fi>.. ,.. �. Y,. . a„ .,.C'. � .... �' as. ., t ,�i ,. ,�.. .:., :u e�^. ... K�x ✓. ,.,, ...,. cam. ".£, >, �x F -z:.., re: t.. ✓A'.,.. r.�'..,..x. _ � `t. < c, re .:.. v `r.. 5. `�5 �.. •: a, ✓ _.� >S.s : �. �_: - .va „� ..�, sx.. .,. s •.,,. *,s l w,., ..a. U .K: , 7. �.. ,.L. : �. .ila .r ,'r, . e, ? /3 , •�sa . x .. �b "?A..ca.�3u ,.. .. , . 2 .:. ::: ,. ,: ;.^ ..., £. 4P �'.r �` �� !..q.. -.y',,?Y�,- . �x .W .':? ...,Y�. > ..�<. 1.r ,. :r�i '... �fi��=u°•�-.... 4. x$� �._ �,. i'"`.¢ .'X ��.,2aa,. , s�,' v '�,'.�.n,•.t'#.�isz'`.'..ea�..� ,a,'�'. a'at"'`t. k:: � � 3��- `�a'�� >� ��,. c3A, tt�>, �v,; ��- �.. 3�• �..? rs,<. �` ?�; �; �.' �„, z;: �.. L:--, ?ka:, x;..;.. �s.. u. �::�;?��i�.c�,�,:.,x,:z��az<sk. .,.., .>.�:.<_,.� z,�.,v..,w�.:.si:..,:n,� ..:,.:..;,. �,.. f .;:k,�,z,..=a._.,...,.a „r,'�S'. w�, >,:�.�.,...._s.�,uuvx, �, �rfi.�: �ROUTINEf ❑ COMBINED El JOINTAGENCY ❑ MULTI - AGENCY El COMPLAINT El RE- INSPECTION omp Dance C V OPERATION CERS V= Violation; 1,11 Minor Violation COMMENT # + APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATIORACCURATE (CCR: 2729.1) 1010008 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 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) r >{ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) R EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 1+,• •. CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), 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? CI YES El NO Signature ofRecei t F. Nh x . !• 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 804)