HomeMy WebLinkAboutHMBP INSP 4.14.17UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
FACILITY NAM ..
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
kr ADDRESS ,
PHONE NO.
NO OF EMPLOYEES
R
Y
off/
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
0 Es
Consent to Inspect Name/Title
-,... ;.: ✓ . a .... .p: ,. h:, v.. ,Ca �. .. .�.,. z fi . � ¢ t .,;. 5 S rt 4 .Y r �r. "1
y � Sect�on�1 Business�Paano.and- �lnvento � Pr,.o ram x� � £� �.
OUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
V =violation, 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (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))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO I
Oignature ofRecei t
Explain:
Inspector: L., ' .) F � /L
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8//14)