HomeMy WebLinkAbout4101 EMPIRE DR STE 130_HMBP 6-15-23( e�z C';_ f-Lm � V
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
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PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
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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 C=Compliance OPERATION
V=violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
C ERS
Violation
COMMENT
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1010008
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
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VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
10,0010
3030007
3030032
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
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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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
White — Prevention Services Yellow — Station Copy Pink — Business Copy FD2155 (Rev 3/2019)