HomeMy WebLinkAbout6001 COFFEE_HMBP 11-02-22P"�5 /0" C 4e- )e S 001e
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
ADDRESS
FACILITY CONTACT
CONSENT TO INSPECT NAME/TITLE
A('J
cif F P �
NSPECTION 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 _
C E R S
V=violation; 1,11 Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIA PER IT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED &c DATED ANNUALLY (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY o (CBC: 401)
3210043
1- ..
VERIFICATION OF INVENTORY MATERIALS CCR: 2729.3)
1010004
C.:tu�1 fnq so
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
i
CA
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)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1020002
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
�.�
3030032
Yr
FIRE PROTECTION (CFC: 903 & 906)
Z 4Z -e
1010005
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Si,Ynature of Recei t
RR R
Explain: '
Inspector: "4X tiZ"0(- 049--a
POST INSPECTION INSTRUCTIONS: _we
• Correct the violation(s) noted above by
• 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)