HomeMy WebLinkAbout1000 s. allen rd_verizon 5.28.19 inspUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
Inspector:
POST INSPECTION INSTRUCTIONS:
• Within thevioletioo(s)nogorefve by
• Within5deld ire Det..P lloftheviolations. sign andrt, Cahomyof this1 W:
Bakersfield Fire Dept, Prevention Services, 2101 H Streit, Califamia 93101
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violattem have been conceited m noted)
Date
M2155 (Rev 912017)
( �'_F' - j
INSPECTION DATE
BAKERSFIELD FIRE DEPT.
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Prevention Services
FACILITY CONTACT
2101 H Street
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C( rl ^Q
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Inspector:
POST INSPECTION INSTRUCTIONS:
• Within thevioletioo(s)nogorefve by
• Within5deld ire Det..P lloftheviolations. sign andrt, Cahomyof this1 W:
Bakersfield Fire Dept, Prevention Services, 2101 H Streit, Califamia 93101
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violattem have been conceited m noted)
Date
M2155 (Rev 912017)
FACILITY NAME
ADDRESS
INSPECTION DATE
INSPECTION TIME
HONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
USINESS 10 NUMBER
Convert to Inspect NamelTltle
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTIAGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V Q= Campllanna OPERATION
V= Vlolatlon: I,Il Minor
CERS
Violation
COMMENT
/
APPROPRIATE PERMIT ON HAND BMC: 15.85.080
010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2]29.1)
3210043
VISIBLEADDRESS (CFC: E05. 1, BMC: 15.52.02))
CORRECT OCCUPANCY (CBC: 401)
I/
VERIFICATION OF INVENTORY MATERIALS (CCR: 2]293)
1010004
/
VERIFICATION OFQUANTRIES (CCR: 2]29.4)
1010006
VERIFICATION OF LOCATION (CCR:27292)'
PROPER SEGREGATION OF MATERIAL (CFC: 2]04.1)
VERIFICATION OF BOB AVAILABILITY (CCR 2]29.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2]32)
1020002
VERIFICATIONOFABATEMENTSUPPL(ES &PROCEDURES (CCR:V31h,))
/
EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
1010010
r/
CONTAINERS PROPERLY LABELED (CCR: BROZI4(Q, DEC: 2]03.5)
303000]
./
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
xplal n:
Inspector:
POST INSPECTION INSTRUCTIONS:
• Within thevioletioo(s)nogorefve by
• Within5deld ire Det..P lloftheviolations. sign andrt, Cahomyof this1 W:
Bakersfield Fire Dept, Prevention Services, 2101 H Streit, Califamia 93101
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violattem have been conceited m noted)
Date
M2155 (Rev 912017)