HomeMy WebLinkAbout120 30TH ST_HMBP 5.26.21Al
UNIFIED PROGRAM INSPECTION CHECKLIST . Et a
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
INSPECTION DATE
' -/ '7 r /-7 r
INSPECTION TIME
..- e C Gr
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
e ek
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
l � r � •1, � �V`r �-
BUSINESS ID NUMBER
� I G I
r
/ 1 Re C
Consent to Inspect Name /Title
'y AY .r
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Compliance OPERATION
V= Violation; I, I I Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
r
/ 1 Re C
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
_
� � / 40 A
VERIFICATION OF LOCATION (CCR: 2729.2)
L4 6 �p
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
HOUSEKEEPING (CFC: 304.1)
r 'Lj
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 0 YES ❑ NO
Signat ure of Recei try
3
Explain:
Inspector: 144 QV2Q-,
POST INSPECTION INSTRUCTIONS:
• Correct the violation
(s ) noted above b y
• 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)
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