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HomeMy WebLinkAbout6561 white ln_hmbp_5.01.23I � "..A I / C it7 P, 5 v, UNIFIED PROGRAM INSPECTION CHECKLIST 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 `` 1 INSPECTION DATE INSPECTION TIME ADDRESS t� 'PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER CONSENT TO INSPECT NAME/TITLE Section 1: Business Plan and Inventory Program ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION C V cCompliance OPERATION C E R Si - V=violation; 1,11 Minor Violation COMMENT ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY ) (CCR: 2729.1 3210043 • t.� VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 A i Ac. 1, VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 Add A-15 o C F 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(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) Af FIRE PROTECTION (CFC: 903 & 906) 3030032 J "?, f � �✓ ti SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si2nature ofReceipt Explain: l' Inspector: V\^, POST INSPECTION INSTRUCTIONS: _ Q Correct the violation(s) noted above by�q_ y • 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 VA'hite — Business Copy Yellow — Station Copy Pink — Prevention Services v Signature (that all violations have been corrected as noted) Date FD2155 (Rev 6/2021)