HomeMy WebLinkAbout3200 Buck Owens Blvd_HMBP_9-14-212Ms✓'C��s � _
UNIFIED 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
Fax: (661) 852-2171
FACILITY NAME r.---�
pt ;5
INSPECTION DATE
INSPECTION TIME
ADDRESS
;PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
l
Section 1: Business Plan and
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MUL
RE -INSPECTION
C U c=Compliance OPERATION ��. G!
V=Violation; 1,11 Minor I E N T
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.0
(CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729. 'Z Re C Q, --f f.%
V/ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
,f
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
-__
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
VIQ V� - C40Z ,
CONTAINERS PROPERLY LABELED(CCR: 66262.34(f), CFC: 2703.5)
3030007
,. OD�_
2act
HOUSEKEEPING (CFC: 304.1)
� _z
FIRE PROTECTION1,, if it (CFC: 903 & 906)OST
I -
3030032
6L n -
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si2natureofRecei t
Explain. - _
Inspector: VLA`
POST INSPECTION INSTRUCTIONS:-
• Correct the violation(s) noted above by m
• Within 5 days of correcting all of the violations, sign and return a copy, of is page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)