HomeMy WebLinkAbout410 21st_6.9.21_hmbpUNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
c CIA PC-4:500, OC11-6110urle-1-
ADDRESS j/ /0
FACILITY CONTACT
onsent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
NSPECTION DATE INSPECTION TIME
6_, f
'HONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C- Compliance OPERATION C E R
S
V= Violation: 1.11 Minnr _
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 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
Signature (that all violations have been corrected as noted)
.
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019
V i u i a t U rn V V IYI IVI t N
#
APPROPRIATE PERMIT ON HAND
6
(BMC :15.65.080)
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
PROPER SEGREGATION OF MATERIAL CFC: 2704.1
/
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
i
/
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
HOUSEKEEPING
'
(CFC: 304.1)
j
FIRE PROTECTION
(CFC-
CFC: 903 & 906
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
/A
ANY HAZARDOUS WASTE ON SITE? OYES ❑ NO ignature of Recei t
Explain:
A U P
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 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
Signature (that all violations have been corrected as noted)
.
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019