HomeMy WebLinkAbout43001 RUSHMORE_EWTBAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLISTI
Prevention Services2101 H Street
Bakersfield CA 93301
SECTION 1: Hazardous Materials Business Plan ` ° ° Tel.: 661 326-3979
Inspection Fax: (661) 8S2-2171
FACILITY NAME
INSP CT N DATE
.,(
INSPECTION TIME
ADDRESS ,
HONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation; 1,11 Minor
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED He UPDATED ANNUALLY ) (CCR: 2729.1
3210043
z) u6 A
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
lt`t tI Q-k-4v ie q5/a'k'V-
CORRECT OCCUPANCY (CBC: 401)
2.1 / 'e ve Y'
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
qa� -Sit fe /oy
VERIFICATION OF LOCATION (CCR: 2729.2)
c l
c2 7 _ Z � sr"�I
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))-
aU4 Q
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
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES O
Signature of Recei C1 .51
Explain.
Inspector: YL- tr
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by (t
• 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)
L_
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)