HomeMy WebLinkAbout230 GOLDEN STATE_SAN JOAQUIN TIRES HMBP 3.2.23cj- �7\coc
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
Vk
ADDRESS '
FACILITY CONTACT
;ONSENT TO INSPECT NAME/TITLE �
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
�p
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
�e 3-- Z3
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
PA 10- C A I o
c
A-_ I_
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY O MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=violation; 1,11 Minor
C E R S
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
14
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
t
V� j ` Q �1
CJ t
VERIFICATION OF LOCATION (CCR: 2729.2)
j
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
5 --� ' / T, I -
ed
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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(o, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
2
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Shmature of Receipt
Explain:
Inspector: 1/ 1--1 - K C4)�JQ
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: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)