HomeMy WebLinkAbout3701 CALIFORNIA AVE_EL POLLO LOCO_HMBP 5.19.22UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD RE DEFT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661)852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME..
-7
J r �r �r
�I • / -
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
Z!� J 7)
Section 1: Business Plan and Inventory Program
91 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COiv1PLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation; I, I I Minor
C E R S
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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 SIDS 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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(�, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
v
FIRE PROTECTION (CFC: 903 & 906)
3030032
V
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Si nature of Receipt
Explain:
Inspector: —T+PA-1 .— & 14
POST INSPECTION INSTRUCTIONS:
• 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
�eA 4-c" i
�'
Signature (that all violations have been corrected as noted)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 9i 2017)