HomeMy WebLinkAbout4200 COFFEE_HMBP 11-01-22;4 /V*.5 ✓ C. �"J4g ro,
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
t �a�
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ' • Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
K o !�
ADDRESS PHONE NO. NO OF EMPLOYEES
4,1 Z ot)
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 OPERATIO N
V=violation; 1,11 Minor
C E RS 1
Violation
#
3010001
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
t
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
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
3030007
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION { "`�' (CFC: 903 & 906)
3030032 •- � — ��
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)1 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO ISionature of Receipt
Explain:
Inspector: V"
POST INSPECTION INSTRUCTIONS: l
• Correct the violation(s) noted above by r r A2 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
White — Business Copy Yellow -- Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)
7v !2 l