HomeMy WebLinkAbout8261 MCCUTCHEN_HMBP 1-19-23IZrAA 5 / LrSVP
�-- BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST r1f2101 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
C�)j v vac ��r e i- ry- z
ADDRESS PHONE NO. NO OF EMPLOYEES
92-
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 OPERATION
V=violation; 1,11 Minor
C E RS
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
C t
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
y,.
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
__-A
dd L
25C
LY]
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
[4550 Od 6?
VERIFICATION OF LOCATION (CCR: 2729.2)
lqw� -
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
( ) X I q eiA. 7 2000
7
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)
HOUSEKEEPING (CFC: 304.1)
3030007
,�,
leo Y) A LA,&IP fr e 0 10�_
FIRE111_ PROTECTION (CFC: 903 & 906)
3030032
S.,e � Q , ce_ ' C-1
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
l� 1
. �•.- 4
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt.'
Explain:
Inspector: 0.0� DC)lI-Q._
POST INSPECTION INSTRUCTIONS: � � J
• 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
Signature (that all violations have been corrected as noted)
It
White --- Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)