HomeMy WebLinkAbout4200 BUCK OWENS_HMBP 9-26-22 (2):) ✓ C C k S /
BAKERSFIELD FIRE DEPT,
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST)
2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan • • Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
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ADDRESS
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FACILITY CONTACT
ONSENT TO INSPECT NAME/TITLE
NS/jPECTION DATE INSPECTION TIME
'HONE NO. NO OF EMPLOYEES
3USINESS ID NUMBER
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; I, I I Minor
C E R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
3210043
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
9
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
P)j4e, Q ��
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
1010006
336
1 1
�aj V
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
-
a TY
-,
- - --
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
Pf 714
f' Q A-4" CAoA-
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
�•-' �'L j
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
f OV 1 CIO_ Q
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
_
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
1010005
� 0 T, e C C f L �-t s /aA-
Si nature of Receipt
_
Explain: {
Inspector: tit'o
.'. 1000 (Ij
POST INSPECTION INSTRUCTIONS: f
• Correct the violation(s) noted above by (�7—
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
�tL
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)