HomeMy WebLinkAboutHMBP INSP 5.23.18BAKERSFIELD FIRE DEPT.
� Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ,... Tel.: (661) 326 -3979
Inspection -. Fax: (661) 552 -2171
FACILITY NAME
L L.0 in a-
INSPECTION DATE
INSPECTION TIME
ADDRESS /A4 0'soo
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
yo�nsent to Inspect Name /Title
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Section 1 Business Plan a n Inventory Program Fli
Er ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OP,
C E RS
v= violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT Of ;
CERS INFORMATION El'
VISIBLE ADDRESS C.o" 77 (e::::
CORRECT OCCUPANC
l
VERIFICATION OF IN`
VERIFICATION OF C
)6
L
/
VERIFICATION OF /
PROPER SEGRE( j/`
t�
VERIFICATION OF SDS Avhtu _
VERIFICATION OF HAZ MAT TRAINING
020002
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
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si atureofRecei t
Explain:
Inspector: IAA- Q
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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)