HomeMy WebLinkAbout1919 COLUMBUS_HMBP 11-04-22R 10 S)4 C C P25✓
UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME c
INSPECTION DATE
lI11J/zZ
INSPECTION TIME
ADDRESS � � �
y
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE .
Section 1:
Business Plan and Inventory Program
❑
C V
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C=compliance -- -- OPERATION C E R S
V=Violation; 1, I I Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED
ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS
CORRECT OCCUPANCY
(CFC: 505.1, BMC: 15.52.020)
(CBC: 401)
r
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
(CCR: 2729.3)
(CCR: 2729.4)
(CCR: 2729.2)
1010004
1010006
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PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1020002
�r
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
3030032
♦-� , /� e 2
V Y 1 � f
1010005
IShmature,of cei t 1
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: Z
• 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 F1 Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)