HomeMy WebLinkAbout1816 GOLDEN STATE_HMBP 11-30-22RAA51 ^-K S✓
UNIFIED PROGRAM INSPECTION CHECKLIST
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
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INSPECTION DATE
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INSPECTION TIME
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PHONE NO.
NO OF EMPLOYEES
ADDRESS
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FACILITY CONTACT
jBUSINESS ID NUMBER
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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
C E RS
V=Violation; I, I I Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED i UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
3210043
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 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(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
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000f,
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FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Signature of Receipt
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Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: / �► r �J 72-
0 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
!'.'t 'e-: f yr
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)