HomeMy WebLinkAbout11205 CHIMNEY ROCK EWT LIBERTY_HMBP 11-1-22UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
C w
ADDRESS
FACILITY CONTACT
ONSENT TO INSPECT NAME/TITLE
BAKERSFIELD FIRE DEPT.
Prevention Services
i �a1
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
�..�"Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
/// / 17 -7
PHONE NO. NO OF EMPLOYEES
BUSINESS 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, I I Minor
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT
(BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED
ANNUALLY (CCR: 2729.1)
3210043
"7 •. ?
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
�
----
- - --
VERIFICATION OF QUANTITIES
-
(CCR: 2729.4)
-_
1010006
'�
O/UA
VERIFICATION OF LOCATION
(CCR: 2729.2)
V S t 'P y
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
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)
3030007
II
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
�-
3030032
,.
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of
Receipt
,
Explain:
Inspector: jvv Y-VA 0,0/)
POST INSPECTION INSTRUCTIONS:
• 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)
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 6/2021)