HomeMy WebLinkAbout108 MADISON ST_HMBP 12.5.19UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
4 Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fai : (661) 552 -2171
FACILITY NAME
CfAk
St l
INSPECTION DATE
Q 5 o
INSPECTION TIME
S'Ln
ADDRESS 1O�
,tom ��
HONE 7N���
eCUUSSINNESS
OOFBEMPLOYEES
FACILITY CONTACT
ewto- St%c-
APPROPRIATE PERMIT ON HAND (BMC: 15.65.060
ID NUMBER
l5- bat -o33 S
pnaeM to Inspect Neme?itle
NA
CERS INFORMATION ENTERED B UPDATED ANNUALLY (CCR: 2729.1)
1010006
Section 1:
Business Plan and Inventory Program
❑ ROUTINE ❑
COMBINED ❑ JOINTAGENCY ❑ MULTIAGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V O= Cpmvliance OPERATION
CERS
V= Vbinon;l,nminor
Violation
COMMENT
Ii)1{
APPROPRIATE PERMIT ON HAND (BMC: 15.65.060
3010001
NA
CERS INFORMATION ENTERED B UPDATED ANNUALLY (CCR: 2729.1)
1010006
VISIBLEADDRESS (OFD: 505.1. BMC: 15.52 M)
CORRECT OCCUPANCY (CBC: 401)
V
VERIFICATION OF INVENTORY MATERIALS (CCR'. 2]29.3)
1010004
V
VERIFICATION OF QUANTITIES (CCR: 2]294)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFO: 2704.1)
✓
NA
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
A
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
10200@
A
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
NA
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
101W10
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
3D30007
✓
HOUSEKEEPING (CFO: 304.1)
FIRE PROTECTION (CFC 903 & 906)
✓
3030032
^
SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2M9.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES M NO
Hwnaigre fR i
NO
2P S:ie
xpl ai n:
lospxbr: L -TION � h
POST "SPEC TRUCTIORN:
• Correctihevalation (s)notedaboveby Nont
• Within 5 days ofcarecling all ofthe violations, sign and return a copy ofthis page to:
Bakersfield Fire Dept, Prevwtim Services, 2101 H Sheet, California 93301
Signature (that all violations have been corrected as noted)
Whits — Prevention Services Yellow — Stint. Cnpy Pinic — Business Copy FD2155(Rev 3/2019)