HomeMy WebLinkAbout3901 wible #2_hmbp_4.19.23BAKERSFIELD FIRE DEPT,
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST
2101 H Street
Bakersfield CA 93301
SECTION 1: Hazardous Materials Business Plan ` • Tel.: 661 326-3979
Inspection Fax: (661) 8S2-2171
FACILITY NAME
Z
__
INSPECTION DATE
/2 3
INSPECTION TIME
ADDRESS
LA/
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
794L._,_)
Section 1: Business Plan and Inventory Program
❑ ROUTINE
❑ COMBINED ❑ JOINT AGENCY
❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION
V=violation; I, I I Minor
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
Q
Alf 3
2 n `%
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004�
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
4 c1d zqj ivee
VERIFICATION OF LOCATION (CCR: 2729.2)
A_�_ 111_/
CJ
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
,
IC or f r�.S�+ 01� Zw
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
40
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
S >CC k."
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
� Qr t v, O—(•
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
V - /
� 712- ,� 1 se r, l, �e
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i natureofRecei t'
Explain:
Inspector• /,/Vf • //VI
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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD21 S5 (Rev 6/2021)