HomeMy WebLinkAbout1725 golden state av_hmbp_3.10.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1:
Hazardous Materials Business Plan
COMMENT
Inspection
FACILITY NAME
APPROPRIATE PERMIT ON HAND BMC: 1565.080
ADDRESS
/
FACILITY CONTACT
3210043
Onsent to Inspect Name Title
QmsfCl5i
BAKention el FIRE DEPT.
Prevention Services
2101 H Sheet
S1 Bakerafield, CA 93301
Tel.: (661) 326-3979
v Fax: (661)852-2171
DATE INSPECTION TIME
NO. NO OF EMPLOYEES
Section 1: Business Plan and Inventory Program
Gr ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V - 0A1i OPERATION
V-Vlolaom IM Minor
CERS
Violation
u
COMMENT
APPROPRIATE PERMIT ON HAND BMC: 1565.080
31
/
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2)29.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CSC:401)
VERIFICATION OF INVENTORY MATERIALS (OCR: 2M.3)
1010004
VERIFICATIONOFQUANTRIES (CCR: 2]29.4)
10101)1
VERIFICATION OF LOCATION (CCR: 2]29.2)
/
PROPER SEGREGATION OF MATERIAL (CFC, 2704.1)
VERIFICATION OF Si AVAIIABILTY (CCR: 2729.2(3)(6))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CC11:2731(c))
/
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34p), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 306.1)
FIRE PROTECTION (CFC: 803 &908)
0032
/
SITE DIAGRAM ADEQUATE & ON HAND (CCR:2Z29.2)
1010005
NY HAZARDOUS WASTE ON SITE? J6 YES ❑ NO
ilsocaftem of Receipt
xPlai n: J
Inpeclor:
POtiI' INSPECTION INSTRUC:
• Conectdu violatlon(s)ooted aboveabove by
• Within 5 day, of connecting ell of the violation, sign and return a ropy of this page to:
Bekenfreld Fire Dept., Pe,vnnion Services, 2101 B Street, California 93301
Signatione (that all violations have been corrected as toted)
Date
White -Business Copy Yellow - Station Copy Pink- Prevention Services FTJ2155 (Rev W2017)