HomeMy WebLinkAbout4501 DISTRICT_HMBP 11-08-22R M s ✓ c&I )e i �
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
C144
ADDRESS
50
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
f � /i�l�� 1►
BAKERSFIELD FIRE DEPT.
Prevention Services
a9 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
`'�.,.../ Fax: (661) 852-2171
INSPECTION DATE 1INSPECTION TIME
(PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION 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
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
�+ CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
1010004
D at AT
IV
101000673
t�
V410
0 P
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)"5
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
I 1020002
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
1010010
3030007
n Used01,504LO,
FIRE PROTECTION (CFC: 903 & 906)
3030032
3 40?— Z_
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
xplain: -- - - -
1010005
Si nature of Receipt
Inspector: t)"
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by _ Z.
• 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)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)