HomeMy WebLinkAboutHMBP 3-31-21UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection '
BAKERSFIELD FIRE DEPT,
Prevention Services
2101 H Street
Bakersfield, CA 93301
• Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
CER S
Violation
1INSPECTION DATE
INSPECTION TIME
S (L-UEP�
c4Ro5k ca6 CTA')
3010001
ADDRESS
PHONE NO.
NO OF EMPLOYEES
(7'50/
1ti! 3f 3
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
CORRECT OCCUPANCY (CBC: 401)
s
Consent to Inspect Name/Title
ccr'iXA..Q
vl
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
CER S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
SZ-!GUB" 11_17E�l V-1 1W
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
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS 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: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
/
Y
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
Wr
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
MnatureofReceipt
Explain:
E
Inspector: �I /1,Z V^A ; C r—
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by �'� Z:3n '2 j
• XVithin 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Prevention Services Yellow — Station Copy Pink — Business Cope
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 3,12019)