HomeMy WebLinkAbout1800 S. Fairfax_Mira Monte HS_12.1.23_HMBPl� M S'O/ C t �2S ✓
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST Q 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME l
a�
ADDRESS
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 C=Compliance OPERATION
C E R S
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
% 7 _
er i
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
s Ir- LA Y
�( t
'L.
CORRECT OCCUPANCY
(CBC: 401)
\k
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
101000404
'
`
1
v Y \�
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
LacAcPAl
VERIFICATION OF LOCATION
(CCR: 2729.2)
3
C
�
s .
co
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
.�
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
r
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
7 Iz
Z
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
SignatureofRecei t
Explain:
Inspector: / `" ' V\A
POST INSPECTION INSTRUCTIONS: �_ 2
• Correct the violation(s) noted above by
• Z-3
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)
t "(D
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)