HomeMy WebLinkAbout4301 RUSHMORE DR_HMBP 6.9.21vlcE2s ✓R,r��
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
�w'T" �- �A�-�E'M At•� -� At..2_� ire-)
ADDRESS
Z--
FACILITY CONTACT
Consent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
°off Bakersfield, CA 93301
.. • Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
'BUSINESS ID NUMBER
"C-_, Z_j_, 106
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V c,= uompiiance OPERATION
CE-RS
V= Violation; 1,11 Minor
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)
1010008
V
0-
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
�j
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
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)
t/
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
V
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 Si2nature of Receipt
r
;Explain:
Inspector:,(.
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Prevention Services Yellow — Station Copy Pink — Business Copy
FD2155 (Rev 3/2019)