HomeMy WebLinkAbout5075 GOSFORD RD_HMBP 12-1-22.04,Ms✓ Ctrs �
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEFT.
FACILITY NAME � INSPECTION DATE INSPECTION TIME
6(joj� �a-�. � 5 / 3 y
ADDRESS
FACILITY CONTACT
ONSENT TO INSPECT NAME/TITLE
Ai
Prevention Services
��,� 2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: 661 852-2171
Prevention Services
r ��
2101 H Street
� Bakersfield, CA 93301
' Tel.: (661) 326-3979
Fax: 6 61 8 5 2 - 2171
HONE NO
USINESS ID NUMBER
NO OF EMPLOYEES
19
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION
V=Violation; 1,11 Minor
ACTIVE HAZARDOUS MATERIALS PERMIT (B�15.65.080)
C E R S
Violation
COMMENT
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
1010006
VERIFICATION OF QUANTITIES (CCR: 2729.4)
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
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
�► .� r
L/
HOUSEKEEPING (CFC: 304.1)
3030032
SatoQ i.'�I� vft-
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
.,` 7._ ,fie �.
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NOSi
nature of eift
Explain: `
e Q )c ,� � 5 U. r �,...-..- a5e d� o. o� w
Inspector: I/ A.- • pv` �
POST INSPECTION INSTRUCTIONS: f
• Correct the violation(s) noted above by {
• "WSW 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
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)