HomeMy WebLinkAbout3500 Buck Owens Blvd_HMBP_9-28-21���5✓ CE�tS�
UNIFIED PROGRAM INSPECTION CHECKLIST ;�sa
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
CERS
Violation COMMENT
INSPECTION DATE
INSPECTION TIME
CERS INFORMATION ENTERED &,4UPDATED ANNUALLY (CCR: 2729.1)
1010008
ADDRESS
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)"'
PHONE NO.
NO OF EMPLOYEES
V�
j 00
CORRECT OCCUPANCY (CBC: 401)
FACILITY CONTACT
1010004
VL
BUSINESS ID NUMBER
Consent to Inspect Name/Title`�L
1010006
k�So- v
VERIFICATION OF LOCATION i 3- (CCR: 2729.2)
15 00,{.
t- Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION, ---f _
V=Violation; 1,11 Minor
CERS
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED &,4UPDATED ANNUALLY (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)"'
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VL
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
k�So- v
VERIFICATION OF LOCATION i 3- (CCR: 2729.2)
15 00,{.
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: 273 1)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
SignatttreofRecei
Explain:
Inspector• Yom- P" _
POST INSPECTION INSTRUCTIONS: i
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this 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)