HomeMy WebLinkAbout3201 GULF ST_HMBP 12-27-22g,.,A 5 01 4c, e__' ks P/
UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
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ADDRESS � A O' � � � � � �✓
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FACILITY CONTACT
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
'�•,,,,1'`' Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
/ -7 /-7 -7 /, 71'
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
CONSENT TO INSPECTS NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C u C=Compliance OPERATION C E R S 1
V=violation; 1,11 Minor 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)
IVERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 I � � 9-4i D✓i..1
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)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1020002
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
1010010
3030007
FIRE PROTECTION (CFC: 903 & 906)
3030032 � 1
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Si nature of Recei t
Explain: q
�A I v` �
Inspector: V " � V'---
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 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
Signature (that all violations have been corrected as noted)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)