HomeMy WebLinkAbout3901 Buck Owens Blvd_HMBP_9-20-21 (2)UNIFIED PROGRAM INSPECTION CHECKLISTS
SECTION 1: Hazardous Materials Business Plan
Inspection i
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
� S S
INSPECTION DATE
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INSPECTION TIME
ADDRESS f1
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACTBUSINESS
ID NUMBER
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Consent to Inspect Name/Title
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Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
40
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
tt 1-1 ire ,.
t-04 CI
CORRECT OCCUPANCY (CBC: 401)
Y
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
e
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
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PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
J� J
sll
r
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
Add
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
t�
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
1
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
(2-
1
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
v
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt
r' s
Explain:
Inspector: SAA V VA- t,' C�`1 V
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by / I
• 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
1.50 0
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)
6Y