HomeMy WebLinkAbout1523 Panama Ln#E101HMBP3-12-21UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
kt V. - w,.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
k) , 1 q 5 �0
APPROPRIATE PERMIT ON HAND BMC: 15.65.080
ADDRESS f
PHONE NO.
NO OF EMPLOYEES
,3
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title (r/
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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
CERS
Violation
C O M M E N T
APPROPRIATE PERMIT ON HAND BMC: 15.65.080
3010001
. %4j""i'L /t4, 3. jua.
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
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)
1010006
a� s
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
ec)7- J r ()1I I .�
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
aW Q - r ou 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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Recei t ,r 4. _
Explain:
Inspector: Al - m 4o/
POST INSPECTION INSTRUCTIONS: TPU �, Correct the violation(s) noted above by AA 40 t ` j
R a4 to X
• 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
White - Business Copy Yellow - Station Copy Pink - Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 9/2017)