HomeMy WebLinkAbout4708 PLANZ RD HMBP 4.14.15UNIFIED PROGRAM INSPECTION CHECKLIST.
SECTION 1: Hazardous Materials Business Plan �I
Insnection
BAKERSFIELD FIRE DEPT.
Prevention Services
a. e a s y' D 2101 H Street
FIRE Bakersfield, CA 93301
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FACILITY NAME V
NSPECTION DATE
INSPECTION TIME
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APPROPRIATE PERMIT ON HAND (BMC: 15.65.080 )
ADDRESS
Tel.. (661) 326 -3979
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Fax (661)852 -2171
FACILITY NAME V
NSPECTION DATE
INSPECTION TIME
��77�1 N�7 oa�383
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080 )
ADDRESS
HONE NO.
OF EMPLOYEES
p
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2728.1)
1010008
FACILITY CONTACT
USINESS ID NUMBER
CCtI %r OII,I fi
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name/Title
I Section 1: Business Plan and Inventory Program 7=�
I ❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C- Compliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080 )
3010001
S i H n < / Jt-
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2728.1)
1010008
177 1--ZZAT
v
VISIBLEADDRESS (CFC: 505.1, BMC: 15.52.020)
V
CORRECT OCCUPANCY (CBC: 401)
C
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
�-
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
-t 3c,oD Cyr: c ri.
C
VERIFICATION OF LOCATION (CCR: 2729.2)
/N /- .i�N4.V SioiCAC +. ,QGarrti
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2728.2(3)(b))
G
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
G
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
G
CONTAINERS PROPERLY LABELED (CCR: 66262.34(Q, CFC: 2703.5)
3030007
C
HOUSEKEEPING (CFC: 304.1)
C
FIRE PROTECTION (CFC: 903 & 906)
3030032
C
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
5jignIllnure of RecWL
Explain:
: I1� b
Inspector. -
POST INSPECTION INSTRUCTIONS:
• Correct the violations) 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, Cahfomia 93301
Signature (that all violations have been contacted as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)
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