HomeMy WebLinkAbout4200 Coffee_hmbp 1.24.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
BAKERSFIELD FIRE DEPT.
Prevention Services
210114 Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
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NSPECTION DATE INSPECTION TIME
FACILITY NAME
VE,a U
HONE NO. NO OF EMPLOYEES
ADDRESS
F
USINESS ID NUMBER
FACILITY CONTACT
Consent to lospeet Nanae/Fitle
Section 1: Business Plan and Inventory Program
5 ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLIINT ❑ RE- INSPECTION
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C V 'piianoa OPERATION
CERS
COMMENT
aon; 1.11 Minor
Violation
PERMIT ON RAND BMC: 15.65.080)
3010001
fAPPROPRIATE
S INFORMATION ENTERED& UPDATED ANNUALLY (CCR:2T29.1)
1010008
LEADDRESS (CFC: 505.1, BMC: 15.52020)
x
RECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:2729.3)
1010009
Y
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010009
VERIFICATION OF LOCATION. (CCR:2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SIDS AVAILABILITY (CCR; 2729.2(3)(b))
%a
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
Y
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
X
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
Y
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
i^
SITE DIAGRAM ADEQUATE & ON HAND (CCR 2729.2)
1010005
NY HAZARDOUS WASTE -,,ST,, ❑ YES I2 NO
' an
U r✓ M ANNEf7
Explain:
Inepectoc S i 4 C 1 E w
POST INSPECPION INSTROCTIONS:
• Correct the violation(s) noted above by
• Within 5 days ofwrrecting all ofthe violations,sign and ,i a oo,.fthis papt.:
Bakersfield Fire Dept, Prevention Services, 2101 H Streat, Celifmnia 93301
Signature (that all violations have been corcocid as notd)
White — Prevendo, Services Yellow — Station Copy Pink — Business Copy FD2155(Rev 3 /2019)