HomeMy WebLinkAbout6901 MCCUTCHEN_HMBP 1-19-23IR m.5 / C C-F '-� -5 4/
�,•--•� 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 INSPECTION DATE INSPECTION TIME
1000"4'/
ADDRESS PHONE NO. NO OF EMPLOYEES
goKj
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAIN
C V C=Compliance OPERATION C E R S
V=Violation; 1,11 Minor Violation
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 Ylt3L
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
❑ RE -INSPECTION
COMMENT
Y,
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
_
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
1010004
1010006
1020002
1010010
3030007
J
c�-t ke 5r'S
3030032
1010005
— �' 2-
ANY
Signature ofReceipt
f N �=
Explain:
Inspector: kV DO*LQ
POST INSPECTION INSTRUCTIONS: Y /
Correct the violation(s) noted above by 61� 03
0 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
I ()
White -- Business Copy Yellow - Station Copy Pink - Prevention Services
FD2155 (Rev 6/2021)