HomeMy WebLinkAbout1721 golden state_hmbp_3.10.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
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�� BA Prevention
Ser FIRE DEPT.
Prevention Services
C 2101 H Street
t'e? Bakersfield, CA 93301
Tel.: (661) 326-3979
Fac: (661)852-2171
FACT LITY NAME
ADDRESS
FACILITY CONTACT
CERS
Violation
NSPECTION DATE
NSPECTION TIME
HONE NO.
0 OF EMPLOYEES
BUSINESS ID NUMBER
Consent to Inspect Name/Title
CE RS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2929.1)
3210043
SeCBon 1: Bualneae Plan and Inventory Program
ROUTINE ❑
COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE-INSPECTON
C V C.O.olpfisims OPERATION
v -Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND JSMG, 15 65.080)
3010001
CE RS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2929.1)
3210043
VISIBLE ADDRESS (CFC 505.1, BMC: 15.52,020)
1•
CORRECTOCCUPANCY (CBC:401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3(
101MM
/
VERIFICATION OF QUANTITIES (CCR: 2729.4)
101000
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC:2704.1)
VERIFICATION OF SOS AVAILABILITY (CCR: 27292(3)(b))
VERIFICATION OF HA2 MAT TRAINING (CCR: 2732)
1MM02
VERIFICATIONOFABATE WSUPFUESBPROCEDURE3 (CCR:2731(ch
EMERGENCY PROCEDURES ADEQUATE (CCR: 2np
1010010
CO AINERS PROPERLY LABELED (CCR: 662M."h, CFC: 2703.5)
303000
%
HOUSEKEEPING (CFC: 904.1)
Fi5E PROTECTION (CFC: 9038906)
MIX132
SITE DIAGRAM ADEQUATE S ON HAND (CCR: 27292)
1010005
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
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Inspector.
POST INSPECTION INSTRUCTIONS:
• Critter the Aclmimm,) coed all by
• Within 5 days of correcting all of the violations, ,sign and eturn a copy of this Tel to:
Bakersfield Bre Dept.. Prevention Services, 2101 H Sum, California 93301
Signature (that all violations have been compared as noted)
Date
White — Business Copy Yellow — Srrfion Copy Pink— Prevention Services M2155(Rev 91MI 7)