HomeMy WebLinkAbout3600 DeSouza P1 #A_Farzad Moghaddam DDs_11.9.23_HMBP2AA5 V1 CERS✓
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
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SECTION 1: Hazardous Materials Business Plan ` ' ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
3000r 1 �
FACILITY CONTACT BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ElJOINT AGENCY ElMULTI-AGENCY El COMPLAINT ❑ RE -INSPECTION
C V C=Compliance OPERATION C E R S
V=Violation; 1,11 Minor Violation COMMENT
AC IVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1) 3210043 Z
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) r71
CGRRECT OCCUPANCY (CBC: 401) �
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 +A
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2) Q i >j
Se-�
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))
El\.-1ERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION t(CFC: 903 & 906) 3030032 V
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
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ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO SionatureofReceipt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: 9
• Correct the violation(s) noted above by r
• 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
NN'hite — Business Copy Yellow Station Copy Pink — Prevention Services FD2155 (Rev 6/2021)