HomeMy WebLinkAbout4501 shephard alfred louie hmbp 7.6.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
0_0 Prevention Services
2101 H Street
Bakersfield, CA 93301
,� Tel.: (661) 326 -3979
Fao:: (661) 552 -2171
FACILITY NAME
ALF [G t
NSPECTI N DAT
07 67.0
INSPECTION TI E
1 / ;YS�
ADDRESS 4^O'
HONE NO.
O OF EMPLOYEES
FACILITY CONTACT
S.
3USINESS ID NUMBER
'onsent to Inspect Nannef itle
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= compliance OPERATION
v= Yolalion; 1,11 Minor
CERS
Violation
u
COMMENT
APPROPRIATE PERMIT ON HAND IBM, 15.85.080)
3010001
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
J
PROPER SEGREGATION OF MATERIAL (OFG 2709.1)
VERIFICATION OF SIDS 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: 931)
1010010
�i
CONTAINERS PROPERLY LABELED (OCR:S82&234(F. CFC: 903.5)
3030007
HOUSEKEEPING (CFC: 304.11
FIRE PROTECTION CFC: 903 &908)
3030732
✓
SITE DIAGRAM ADEQUATE& ON HAND (CCR:2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑YES ❑ NO
Mon,lunsofRecel
plain:
Iasioetor: rl c- — f Q
POST ENSPECTION INSTRUCTIONS:
• Correct the violetion(s) noted above by
• Within 5 days of.rroam, all fthe violations, sign and mum a Copy ofthm page to:
Bakvsfidd Fire Deft, P .tion Services, 2101 H S eet, California 93301
l/ �-4-& w 64�
Bigne ( at all nolati� corrected ai noted)
White — Prevention Services Yellow — Station Copy Pink — Business Copy M2155 (Rev 32019)