HomeMy WebLinkAbout9280 ROSEDALE_OLD NAVY HMBP 2.27.23g '0VX .5 / C 06-R S V/
BAKERSFIELD FIRE DEPT.
UNIFIED PROGRAM INSPECTION CHECKLIST Prevention Services
d= 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ' ' ' Tel.:661 ( ) 326-3979
Insp
ection Fax: (661) 852-2171
FACILITY NAME C
(2 t 7 .
INSPECTION DATE
INSPECTION TIME
ADDRESS cc, I �
PHONE NO. NC OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
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
C E R S
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (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)
Vr 4AA-4 o V Uk S '�e
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
A'A.^_ �'� e
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
4P
VERIFICATION OF LOCATION (CCR: 2729.2)
r-
I Y%.- k t..' C R S
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
il
1couP ►
•
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
-
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
f
HOUSEKEEPING (CFC: 304.1)
5 yl�
FIRE PROTECTION (CFC: 903 & 906)
3030032
0,
,
4� � � � � e � � � � � ��° �•
r
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
C, 5- 1 L I
I t�
;ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt
yl -4
;Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: i
• Correct the violation(s) noted above by
• 27- 3
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 6i2021)
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