HomeMy WebLinkAbout1000 18th st hmbp 6.22.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
^� B
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Sheet
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
NSPECTION DATE INSPECTION TIME
CI , ACO WZ Zp 'Da
ADDRESS 1 -HONE NO.� �S 0 O EMPLOYEES
FACILITY CONTAC`T USINESS, ^ID NUMBER
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,onsent to Inspect NameITitle
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Complianoa OPERATION CERS
V= Vidanon; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15.65,mo) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2]28.1) 1010008
VISIBLEADDRESS (CFC: 505.1, BMC: 1552.020)
1 CORRECTOCCUPANCV (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010004
VERIFICATION OF LOCATION (CCR: 2729.2) 1010005
PROPER SEGREGATION OF MATERIAL (CFC 27041)
VERIFICATION OF SOS AVAILABILRY (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: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66282.34(0. CFC: 2703.5) 30300t7
HOUSEKEEPING (CFC: 304,1)
FIREPROTECTION (CFC: 903&905) 30032
SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES NO rpeattine.rVipt
xplain:
Inspector, V 'I;Z -bOEX7
POST INSPECTION UNSfRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days ofconecti gall of We viola[ ions, sign and neur. a ropy ofthk Page to:
Bakersfield Fire Dept., Pmmtion Services, 2101 H Street, California 93301
Signature (that all violations have Item mtreoted as noted)
White — Peeventim Services Yellow — Station Copy Pink — Business Copy F@155(Rev 32019)
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Complianoa OPERATION CERS
V= Vidanon; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15.65,mo) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2]28.1) 1010008
VISIBLEADDRESS (CFC: 505.1, BMC: 1552.020)
1 CORRECTOCCUPANCV (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010004
VERIFICATION OF LOCATION (CCR: 2729.2) 1010005
PROPER SEGREGATION OF MATERIAL (CFC 27041)
VERIFICATION OF SOS AVAILABILRY (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: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66282.34(0. CFC: 2703.5) 30300t7
HOUSEKEEPING (CFC: 304,1)
FIREPROTECTION (CFC: 903&905) 30032
SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES NO rpeattine.rVipt
xplain:
Inspector, V 'I;Z -bOEX7
POST INSPECTION UNSfRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days ofconecti gall of We viola[ ions, sign and neur. a ropy ofthk Page to:
Bakersfield Fire Dept., Pmmtion Services, 2101 H Street, California 93301
Signature (that all violations have Item mtreoted as noted)
White — Peeventim Services Yellow — Station Copy Pink — Business Copy F@155(Rev 32019)
Inspector, V 'I;Z -bOEX7
POST INSPECTION UNSfRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days ofconecti gall of We viola[ ions, sign and neur. a ropy ofthk Page to:
Bakersfield Fire Dept., Pmmtion Services, 2101 H Street, California 93301
Signature (that all violations have Item mtreoted as noted)
White — Peeventim Services Yellow — Station Copy Pink — Business Copy F@155(Rev 32019)