HomeMy WebLinkAboutBuena Vista & White Ln_Allied Potato BV Ranch_10.20.23_HMBPg m C ew5
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST Q 2101HStreet
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan ` • ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
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INSPECTION TIME
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PHONE NO.
NO OF EMPLOYEES
ADDRESS -
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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 R S
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
23
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
-
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
d 3 5 1
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
4A
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
,V0
OeN
CONTAINERS PROPERLY LABELED (CCR: 66262.34(g, CFC: 2703.5)
3030007
HOUSEKEEPING (CFC:304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
5 .— Z
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt
:ZZExplain:
U'e 5 P J 0- C V "' � vt u`^ avNn�L5
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Inspector: Ovk 0&1A
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
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Ctc o l
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6/2021)
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