HomeMy WebLinkAbout1620 E.BRUNDAGE _HMBP 8-10-22j? M S ✓ C 51Z S
FACILITY NAME .�
ADDRESS
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FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661)326-3979
Inspection Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
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HONE NO. NO OF EMPLOYEES
USINESS ID NUMBER
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION 1 C E R S
V=Violation; I, I I Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043
I/. VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
00 CORRECT OCCUPANCY (CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
1010006
VERIFICATION OF QUANTITIES (CCR: 2729.4)
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VERIFICATION OF LOCATION
-- - - --
(CCR: 2729.2)
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-- - - -
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
1020002
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC:304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain: f r - ---_ - -
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1010010
3030007
3030032
1010005
Signature of Recei
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Inspector: I V 1 V(
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
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Signature (that all violations have been corrected as noted)
Date--
'; Fp2155 (Rev 6/2021)
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