HomeMy WebLinkAbout4200 coffee_hmbp_2.19.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
R` BAKERSFIELD FIRE DEPT.
PreventionServices
2101HS
2101 H Street
Bakersfield, CA 93301
Tel.: (661)326-3979
Fu: (661) 852-2171
FACILITY NAME
INSPECTION DATE
NSPECTION TIME
ADDRESS
HONENO�
0OF EMPLOYEES
l.Uri -\�i- C z'
COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑
FACILITY CONTACT
USINESS ID NUMBER
Consent to Inspect NamM9le
Mtn PAIck.,
C V D=c°mpllanr° OPERATION
V=Vlamlo,LIIJWaw
CERS
Violation
Section 1: Business Plan and Inventory Program
❑
ROUTINE
COMBINED ❑ JOINTAGENCY ❑ MULTI -AGENCY ❑ COMPLAINT
❑
RE -INSPECTION
C V D=c°mpllanr° OPERATION
V=Vlamlo,LIIJWaw
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND BMC: 15.05090
001000[
CERS INFORMATION ENTERED& UPDATED ANNUALLY (CCR: 2]28.1)
1010009
x
VISIBLEADDRESS (CFC: 505.E BMC: 1552.020)
CORRECTOCCUPANCY (CBC: 401)
X
VERIFICATION OF INVENTORY MATERIALS (CCR: 27293)
1010004
K
VERIFICATION OF QUANTRIE9 (CCR: 2728.4)
10100,,
i
VERIFICATION OF LOCATION (CCR: 2728.2)
1010006
K
PROPER SEGREGATION OF MATERIAL (CFG: 2704.1)
VERIFICATION OF SDS AVAII-ASILRY (CCR: 2729.2(3x6))
x
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020042
VERIFICATIONOFABATEMENTSUPPLIES&PROCEDURES (CCR.2731(c))
EMERGENCY PROCEDURES ADEQUATE (COR:2731)
1010410
x
CONTAINERS PROPERLY LABELED (CCR:68282.34ft CFC:2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
x
FIRE PROTECTION (CFC: 903&900)
3030032
x
SITE DIAGRAM ADEQUATE &ON HAND (CCR:27292)
1010005
NY HAZARDOUS WASTE ON SITES X YES ❑ NO
Signature of Reee
xplain:
POST INSPECTION INSTRUCTIONS:
• Correa the violatiet(s) noted above by
• Within 5 days ofrome int, all ofthe violations, sign and return a copy ofthis page to:
Bakersfield Fire DepL,P.e fitlnServices,2101HStred,Cslifamia 93301
Signature(that all violations have been core as noted)
White- Prevention Services Yellow -Station Copy Pink - Business Copy FD2155(Rev 32019)