HomeMy WebLinkAbout2841 ELM ST_CAL WATER HMBP 2.7.24UNIFIED PROGRAM INSPECTION CHECKLIST,
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
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ADDRESS )--, g q I ( I ty, S f - Ac, k e" N GIy
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FACILITY CONTACT
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',ONSENT TO INSPECT NAME/TITLE
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BAKERSFIELD FIRE DEPT.,
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
�.../ Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
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PHO E O. NO OF EMPLOYEES
BUSINESS ID NUMBER 7
1
Z Section 1: Business Plan and Inventory Program
Lg ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY El COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION C E R S
V=violation; I, I I Minor 'Violation COMMENT
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ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
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
L/
VERIFICATION OF LOCATION (CCR: 2729.2)
V1
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
AVERIFICATION
OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
i
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
A114
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
10,0005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Si2nature of Receipt
Explain:
Inspector: /-Iq USIOL
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
White - Business Copy Yellow - Station Copy Pink - Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)