HomeMy WebLinkAbout210 SUMNER_HMBP 5.15.19BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
ajARTN 2101 xstreet
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program
Tel.: (661) 326 =3979
Fax: (661) 852 -2171
FACILITY NAME
Ili- A-1
INSPECTION DATE
-
INSPECTION TIME., -
p
,r
ADDRESS
PHONE NO
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER'
0.7
Consent to Inspect Name /Title
:......:...::.. ..:........::..:.:.......S:ect� n ':.::::Nazar a�us.:M��±�rtais Bu;�ine,�s �'Isn an.d..l :::::e ...a...:.....,::::. ......::........:.:.:....:....:. ...:.,....:.:..........:...:.:.
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY' ❑ COMPLAINT° ❑ ` RE- INSPECTION
C= Compliance
C V ( ) OPERATION
COMMENTS
,V"-Violation
❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑ APPROPRIATE PERMITON HAND (BMC: 15.65.080),,
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
$ "
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
a;
r,
lop
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
.,
❑ ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)'
❑ ❑ VERIFICATION.OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(0)
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS. PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ ❑ HOUSEKEEPING - (CFC: 304.1)
• �'EK FIRE PROTECTION (CFC: 903 & 906)
g
• ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ` YES ❑ NO
Explain: 4
Signature of RR&e t:-.
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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, 2101H Street, California 93301
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy. FD2155 (Rev 1/14)