HomeMy WebLinkAbout1329 34th st mercy plaza hmbp 6.11.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
^� B=ERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI.AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
INSPECTION DATE
NSPECTION TIME
CERS
Violation
COMMENT
APPROPRIATE PERMR ON HANG BMC: 15. %.080
3010001
ADDRESS
HONE NO.
O OF EMPLOYEES
�4-
I Z
T" 5f
I ,
3210043
USINESS ID NUMBER
FACILITY CONTACT
VISIBLE ADDRESS (CFCs 505.1, BMC: 15.32020)
onsern to Inspect NameRitla
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI.AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c= C.Pranae OPERATION
V= Vktlatlon; I,Il Minor
CERS
Violation
COMMENT
APPROPRIATE PERMR ON HANG BMC: 15. %.080
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCWV29.1)
3210043
VISIBLE ADDRESS (CFCs 505.1, BMC: 15.32020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2]29.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2]29.4)
1011I00B
VERIFICATION OF LOCATION (CCR: 2/29.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2]04.1)
i
VERIFICATION OF BIDS AgAILAS ILITY (CCR: 27292(3)(Ian
VERIFICATION OF HAZ MAT TRAINING (CCR: 2]32)
1020002
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
i%
EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 6fi29234(f), CFC: 2]03.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC:903 &906)pp
SITE DIAGRAM ADEQUATE &ON HAND (CCR: 2]29.2)
1010005
NY HA 2ARD0 US WASTE ON BITE? ❑YES NO
•1 s 1
xplain:
Inspector. /1 •..
POST INSPECTION INSTRUC IONS:
• Cornett the violation(s) noted above by
• Within 5 days ofeortecting an fthe vialedons, sign and return a copy ofthis page to:
Bakersfield Fire Dept. Prtvention Services. 2101 H Street. California 93301
White — Business Copy Yellow —Station Copy Pink — Prevention So,ices
Si,ohno (tb t all vblad. have been mneeted as not.)
Date
FD2155(Rev 9/2017)