HomeMy WebLinkAbout2031 White LnHMBP2-2-21UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
° b Bakersfield, CA 93301
• ... Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
yf(L1qtw Wlik—LESclo
_%N)wTC tom! rt.1 Q
INSPECTION DATE
P)-)ONE NO.
ku_ -,;�L. L.---
INSPECTION TIME
NO OF EMPLOYEES
ADDRESS
m
J
FACILITY CONTACT
1010004
BUSINESS ID NUMBER
onsent to Inspect NNanme /Title �l
ID 114
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
Section 1: Business Plan and Inventory Program
KROUTINE ❑
COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION C E R S
V= Violation; I, I I Minor Violation COMMENT
#
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 1010008
t
i
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
i
Inspector: (,mot ftffVi� -9 4 ) 6
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)
Date
White — Prevention Sen ices Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)
CORRECT OCCUPANCY (CBC: 401)
v
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)
tom%
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
t/►
l�
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 Receipt
(Explain:
Inspector: (,mot ftffVi� -9 4 ) 6
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)
Date
White — Prevention Sen ices Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)