HomeMy WebLinkAbout2500 E BRUNDAGE LN_HMBP 5.7.21UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
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BAKERSFIELD FIRE DEPT.
Prevention Services
_ 2101 H Street
1o4 Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION DATE
/7
INSPECTION TIME
ADDRESS
,�2 5- G
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title�,r
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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 ENTER�D`& UPDATED ANNUALLY (CCR: 2729.1)
3210043
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
0
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
CP C-3 U JA
EMERGENCY PROCEDURES ADEQUATE '1 (CCR: 2731)
1010010
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CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
Nat
3030007
HOUSEKEEPING - "'7 (CFC: 304.1)
FIRE PROTECTION 7 'j L; — (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt
Explain: ll
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Inspector: j fi If W41
POST INSPECTION INSTRUCTIONS:
• Correct the violations noted above b �'
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• 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
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Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 9/2017)