HomeMy WebLinkAbout2152 coffee_hmbp_5.11.20UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
�:� Prevention Services
2101 H Street
Bakersfield, CA 93301
` Tel.: (661)326-3979
N RI Fax: (661)852-2171
FACILITYNAME
CERS
Violation
NSPECTION DATE
INSPECTION TIME
F6RW Fe, 51JAIt
ASN
S-//-2Is
ADDRESS
❑
HONE NO.
O OF EMPLOYEES
Ir
QI F
❑
MULTI -AGENCY ❑ COMPLAINT
FACILITY CONTACT
RE -INSPECTION
USINESS ID NUMBER
CORRECTOCCUPANCY (CBC: 491)
�r-otl— ov/r�
onsent to Inspect NameRitle
VAIM aW.,) JF,,0
C,
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
Section
1: Business
Plan
and Inventory Program
to
❑
ROUTINE
42
COMBINED ❑
JOINTAGENCY
❑
MULTI -AGENCY ❑ COMPLAINT
❑
RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
40-
APPROPRIATE PERMIT ON HAND (BMG: 15.65.080)
3010001
to
CERS INFORMATION ENTERED ✓; UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLEADDRESS (CFC: 5)5.1, BMC: 15.52.020)
CORRECTOCCUPANCY (CBC: 491)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
10
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF BOB AVAIIABILITY (CCR: Z729213)(b))
'V
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OFABATEMENT SUPPLIES&PROCEDURES (COR.2731(c))
p
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(9, CFC: 2703.5)
3030007
it
HOUSEKEEPING (CFC: 301.1)
FIRE PROTECTION (CFC: 9038 905)
3030033
SITE DIAGRAM ADEQUATE& ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? 1,FbYES ❑ NO
netor fR i
plain:
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POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all fthe violations, sign and rctum a copy of this page to:
Bakersfield Fire Dept., Prevention Service, 2101 H Streel, California 93301
Sigpature (that all violations have been corree ed as noted)
White– Prevention Service Yellow–Station Copy Pink – Business Copy 1`132155 (Rev 32019)