HomeMy WebLinkAbout5000 GASOLINE ALLEY DR HMBP 2015UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Busyness Plan
Insnection
w. BAKERSFIELD FIRE DEPT.
Prevention Services
FIRE 2101 H Street
jq rm r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
V
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
Op
"I"',
1271111
. . . . . . . .
ROUTINE ❑ COMBINED ❑ JOINT AGENCY 1:1 MULTI-AGENCY 17-1 COMPLAINT ❑ RE-INSPECTION
C V C=Gompliance OPERATION
C E R__S
V=Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
X�
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
A
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(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
IRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729-2)
1010005
ANY HAZARDOUS WASTE ON SITE? 111, YES ❑ NO
ignature of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sip and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Cony Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
IM? 155 (P R //1 A)