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HomeMy WebLinkAbout2023-09-01 HMBP 4500 Gosford Rd #105_subway.pdfUNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES 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; I,II Minor CERS Violation # COMMENT ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001 CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 1010008 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 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 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:___________________________________________________ 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: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 _______________________________________________ Date White – Business Copy Yellow – Station Copy Pink – Prevention Services FD2155 (Rev 7/2022) BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326-3979 Fax: (661) 852-2171