HomeMy WebLinkAbout1900 e brundage_hmbp_3.13.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BA FIRE DEPT.
Preventi
on Sedrvices
KA
2101 H Sveet
• Bakersfield, CA 93301
Tel.: (661)326-3979
Fac: (661)852-2171
FACILITY NAME
NSPECTION DATE
NSPECTION TIME
Jl C c'1
ROUTINE
ADDRESS
HONE NO.
0 O EMPLOYEES
I�ltI T s e.J.a(
CERS INFORMATION ENTERED X UPDATED ANNUALLY (CCR: 2120.1)
101008
FACILITY CONTACT
USINESS IC NUMBER
VISIBLE ADDRESS (CFC: 505.1. BMC: 1&5202))
Ji 07 1-0041
onsent to Impact 1,181118?i0a
CORRECT OCCUPANCY (CEC: 401)
A^I(NA I
C V OPERATION
V-Vloledan; 1,11 Mi.
CERS
Violation
If
Section 1: Business Plan and Inventory Program
ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPIAINT
❑
RE -INSPECTION
C V OPERATION
V-Vloledan; 1,11 Mi.
CERS
Violation
If
COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15'SS.oSO
3010001
w
CERS INFORMATION ENTERED X UPDATED ANNUALLY (CCR: 2120.1)
101008
Y'
VISIBLE ADDRESS (CFC: 505.1. BMC: 1&5202))
CORRECT OCCUPANCY (CEC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2]29.3)
lol000t
Y
VERIFICATION OF QUANTITIES (CCR: 21294)
1010DW
VERIFICATION OF LOCATION (CGR'. 21292)
101005
V
PROPER SEGREGATION OF MATERIAL (CFC: 2104.1)
VERIFICATION OF BOB AVMIABILDY (CCR 212).2(3)(bn
VERIFICATION OF HAZ MAT TRAINING (CCR: 2132)
10200112
VERIFICATIONOFABATEMENTSUPPUESBPROGEOURES (CCR:2131(c))
O
EMERGENCY PROCEDURES ADEQUATE (CCR: 2131)
1010D10
CONTAINERS PROPERLY LABELED (CCR'. fi6282.34(9, CFC: 210.5)
300001
V
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: Sea 8906)
303032
SDE DIAGRAM ADEQUATE a ON HAND (CCR: 21292)
1010005
NY HAZARDOUS WASTE ON SITE? El YES 42 -NO
i f
plain:
POST INSPECTION EVSTRUCTIONS:
• Correct the violations) noted above by
• Within 5 days ofcooetmg all ofthe violations, sign and mum a copy ofthis page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (thm all violations have been corrected as noted)
Date
White— Prevention Services Yellow—Station Copy Pink—Business Copy FD2155(Rev MO 19)