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HomeMy WebLinkAboutHMBP 3-19 11109 River RunrLs BAKERSFIELD" FIRE DEPT. Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST .;j 2101 H Street Bakersfield, CA 93301 SECTION 1: Hazardous Materials Business Plan s Tel.: (66t)326-3979 Inspecti6n Fax: (661) 852 =2171 FACILITY NAME � INSPECTION DATE INSPECTION TIME ..e .... .:� x 1� t 3.. . 3 � i; 3 f ..,.. 2 � ,.,,, <. >...,. a <. ,it . ,.. ,. _ y ... :: ... ;.. r r.: ,:. �.. �.� G i� �. b' r 3~r '.33 ' . t ! � 5 3 i 1:1,. }� ; } 1 'Mr F3 �} ry 3 } ....�„ s � ,..._: 4:.,, s �_... :.:.. '� .. :,., 33 a.;. ,;. .3::.,. .. ,,:;:. ,,,., �:.�, ,. .>:. ,. .. �...:.. ..;. ,,..w i 3 €. ,, A F•,1 .. ;, �,'f'' ! t., �.� ,....x, f, �> ��. t 3. �, £ ':: 3 f. t,.' .: e 3. 3 ,. : .;. ;... .3, , � fi ,3.. � 3: > ��ti ., 4�. i?�y< 3 i >I 3 .;u -. .3, -... y �.�.� .< >. ': ... ,,. ': . ' .. - . . .. �. x � .. 7 :�...;,r' i 5 },�uL' a 3 Sect�o n 1. ;B;u mess Plan =and Inventor... Pr3o •ram.. } _ 3 >,. .. s:n',i .... . ..:.:... }, S :..:.�:..,� ... ,.�$�' ,... `. ....» 5:�,.8't ..£,;...� < � ., v ., . ,':..F �, :, s t„ 3s,.. :. `C, .;.i :, 3.,_.,a. 4. ,,.... L x ,, h; n,?<`!.',.....:3$ A< t � (`.... 'A,tY,'..'�`,. .. •,. , .. 33 'ID—t, ROUTINE ❑ COMBINED ❑ '.JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C E RS ADDRESS r PHONE NO NO OF EMPLOYEES 400 COMMENT FACILITY CONTACT BUSINESS ID NUMBER, '+.A'` #`A, � .h" :..: �R� ;34 'i, ;wE,. �� ..�.7 N"�.;f"i 'a3 'a" ,i'�..e�" .wr.:3!. �; AA, Consent to `inspect Name /Title ..e .... .:� x 1� t 3.. . 3 � i; 3 f ..,.. 2 � ,.,,, <. >...,. a <. ,it . ,.. ,. _ y ... :: ... ;.. r r.: ,:. �.. �.� G i� �. b' r 3~r '.33 ' . t ! � 5 3 i 1:1,. }� ; } 1 'Mr F3 �} ry 3 } ....�„ s � ,..._: 4:.,, s �_... :.:.. '� .. :,., 33 a.;. ,;. .3::.,. .. ,,:;:. ,,,., �:.�, ,. .>:. ,. .. �...:.. ..;. ,,..w i 3 €. ,, A F•,1 .. ;, �,'f'' ! t., �.� ,....x, f, �> ��. t 3. �, £ ':: 3 f. t,.' .: e 3. 3 ,. : .;. ;... .3, , � fi ,3.. � 3: > ��ti ., 4�. i?�y< 3 i >I 3 .;u -. .3, -... y �.�.� .< >. ': ... ,,. ': . ' .. - . . .. �. x � .. 7 :�...;,r' i 5 },�uL' a 3 Sect�o n 1. ;B;u mess Plan =and Inventor... Pr3o •ram.. } _ 3 >,. .. s:n',i .... . ..:.:... }, S :..:.�:..,� ... ,.�$�' ,... `. ....» 5:�,.8't ..£,;...� < � ., v ., . ,':..F �, :, s t„ 3s,.. :. `C, .;.i :, 3.,_.,a. 4. ,,.... L x ,, h; n,?<`!.',.....:3$ A< t � (`.... 'A,tY,'..'�`,. .. •,. , .. 33 'ID—t, ROUTINE ❑ COMBINED ❑ '.JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C. V a= Compliance OPERATION C E RS v =violation; 1,11 Minor Violation COMMENT # APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED &'UPDATED ANNUALLY (CCR: 2729.1) 3210043 VISIBLE ADDRESS (CFC: 505.1, BMC: 15:52.020) CORRECT OCCUPANCY (CBG: 401) VERIFICATION'OF INVENTORY MATERIALS:, (CCR: 2729.3) 1010004 N VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION.OF LOCATION (CCR: 2729.2) ' PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) 4. 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 r CONTAINERS PROPERLY LABELED. (CCR: 66262.34(171 CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC:`903 & 906) 3030032 SITE DIAGRAM ADEQUATE &-ON HAND (CCR: 2729.2) 1010005 -' NY HAZA'RD'OUS WASTE ON SITE? ❑YES ❑ N(� Si nature ofRecei t Explain: Inspector: e" + y+r POST INSPECTION IMTRUCTIONS: Correct the violation(s) noted above by : e Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all viol�tis h ve been c s noted)' Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 - _.�" a Date White - Business Copy Yellow -Station Copy Pink -Prevention Services FD2155 (Rev 9/2017)