HomeMy WebLinkAbout4803 Panama Ln #C1HMBP3-16-21UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT,
Prevention Services
,
2101 H Street
o� Bakersfield, CA 93301
Tel.: (661) 326 -3979 S
0. Fax: (661) 852 -2171
FACILITY NAME
CERS
Violation
C O M M E N T
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT'
r
low-
Consent to Inspect Name /Title
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
7 s
v
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
C O M M E N T
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
low-
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
7 s
v
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
r
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
O C
�_
t 5.
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)
FIRE PROTECTION (CFC: 903 & 906)
3030032
f '
Se v t c e *! cam# 4 (-;
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
pp � r .,,.
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Shmature of Receipt
Explain:
Inspector: M 'IM i� j, }n _o _
POST INSPECTION INSTRUCTIONS: '` l
• Correct the violations noted above b t J
O Y
• Within 5 days of correcting all of the violations, sign and return a copy of thi, page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White Business Copy Yellow -- Station Copy Pink -- Prevention Services FD2155 (Rev 9/2017)
•-S