HomeMy WebLinkAbout4115 BUCK OWENS_HMBP 09-27-22,2M5✓ Cejz5v
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT,
e�` Prevention Services
,4 2101 H Street
a
Bakersfield, CA 93301
Tel.: (661) 326-3979
``•`.../'' Fax: (661) 852-2171
FACILITY NAME I I INSPE TION DATE INSPECTION TIME
�cree✓S ►.� < r W7, 7 17- Z
ADDRESS PHONE NO. NO 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 -- C E R S
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 — . i R1000r4e
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 Y C Pi""
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
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VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
(AJ r�
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002f 5
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)
f
FIRE PROTECTION (CFC: 903 & 906) 3030032
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
�NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ ND Si nature of Receii t A.-)
'Ii
Explain:
Inspector: r%tool--
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by 17, Z Z_
• 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 6/2021)