HomeMy WebLinkAbout4949 GOSFORD RD_HMBP 12-1-22UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
�--•�,,,,� BAKERSFIELD FIRE DEPT.
Prevention Services
t �
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
ADDRESS J PHONE NO. NO OF EMPLOYEES
At-/ %-� L
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Y�
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
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
(CCR: 2729.4)
(CCR: 2729.2)
1010006
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
CONTAINERS PROPERLY LABELED (CCR:
(CCR: 2731)
66262.34(f), CFC: 2703.5)
1010010
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
3030032
Z' Z---.�
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ ES
❑ NO
Si nature of Receipt
Explain.
Y/^
S v e
C F C
Incnectnr: Y "` - t..1 Q r
(I Q f ic, f a-v—c
& e 4 -6 a P P 1%4
4 3C tl e r to f
POST INSPECTION INSTRUCTIONS: �/
• Correct the violation(s) noted above by % I" � 2
• 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
fd' tO.,L�
Signature (that all violations have been corrected as noted)
Date '
FD2155 (Rev 6/2021)