HomeMy WebLinkAbout2023-04-24 HMBPUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
ADDRESS �500
FACILITY CONTACT
"Vit, A CA nrx
CONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
f Tel.: (661) 326-3979
Fax: (661) 852-2171
1
INSPECTION DATE
INSPECTION TIME
--i I 2`
PHONE NO. NO OF EMPLOYEES
0 1 - Z.
BUSINESS ID NUMBER
S
1 C __ t"")7 k ---1 1
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 B ( MC: 15.65.080)'
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
F Q
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
!
--201
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
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(o, 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 ANO
Sil4nature of Receipt
Explain:
Inspector•
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)
I