HomeMy WebLinkAboutHMBP 6-19 2130 21st StBAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street "
,
Bakersfield,. CA 93301
Tel.: 661 326 -3979
SECTION 1: Hazardous Materials Business Plan ( );
Fax: (661) 852 -2171
Inspection
- INSPECTION DATE INSPECTION TIME
FACILITY NAME
PHONE NO. NO OF EMPLOYEES
ADDRESS .
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
t
3 w.,.3: s� i • .3, } ., i; 3 .., it ., frxj ; 33 R? (�;:.. ,�� rr i rG3 3 .r. `1R`' � '. 'a .?�' r�
,,.... , ,. �:i:;. ,. . ... .....�. •.. f... .,:. . rt.. i �'. 3.... .�..... ..._,. xt' .:.. >.., { .. 3 - } :.:,. „l$.�, , Y ...,, 3, ':� 3 3.. �.
.,,.- • „.L�, a , +...: D 3!? ,.:.:ro,. '. ._s ,.... ": 3 .r '� 1. >.. .::...... .:.:.. .. .i.: .. ...' ,. , ;i i ; 3, �r� �:.1 ,Y�' '.�'{
3 a
�3 � ,., N „. Section ,r � Y �,�,_ � 3�i_ .x:.�,�• i il
❑_ .ROUTINE ❑ COMBINED ❑ .JOINT AGENCY ❑ MULTI - AGENCY Eil COMPLAINT ❑ RE- INSPECTION'
=Compliance OPERATION C E RS
C V
Violation COMMENT
V= Violation; 1,11 Minor #
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 (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(1), 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 nature of Receipt
Explain:
.Inspector:
POST INSPECTION INSTRUCTIONSi_
• Correct the violation(s) noted above by Signature that all violations have been corrected as noted)'
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 93,301 Date
Pink — Prevention Services
White — Business Copy Yellow — Station Copy
FD2155 Rev 9/2017)