HomeMy WebLinkAbout1900 E. Brundage Ln_HMBP_9-16-21UNIFIED PROGRAM INSPECTION CHECKLIST it
SECTION 1: Hazardous Materials Business Plane:
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
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C f
INSPECTION DATE
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INSPECTION TIME
ADDRESS
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C � f
PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
,BUSINESS ID NUMBER
,Consent to Inspect Name/Title
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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
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001 112
5 . 1A\
CERS INFORMATION ENTERED & UPDATED ANNUALL%7 (CCR: 2729.1)
1010008
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
tor
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)_
1010006LP6
VERIFICATION OF LOCATION (CCR: 2729.2)
`tom► TGA V*
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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uin der CC>\/ Q V%
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
000 a
25
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
Z I
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)'
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signatureof Receipt
Explain: 777
Inspector: �4 x
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
White — Business Copy Yellow — Station Copy
Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)
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