HomeMy WebLinkAbout11200 Brimhall_Grocery Outlet_9.25.23_HMBP�-� BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan Tel.: (661) 326-3979
4
Inspection Fax: (661) 852-2171
FACILITY NAME
t
INSPECTION DATE
j
INSPECTION TIME
C__ �!
ADDRESS
PHONE NO.
NO OF EMPLOYEES
] I A? 00
FACILITY CONTACT
1 cair
BUSINESS ID NUMBER
t? lam. i 4P ler
Z'
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 C E R S
V=Violation; 1,11 Minor Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080) 3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
AO
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
4
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� !ie C&, A.*. cta- y A �.�o jr o
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC:304.1)
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FIRE PROTECTION (CFC: 903 & 906)
3030032
3 Z
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
i nature of Recat
Explain:"%� 41 ap -Ao"C 4 .0 U46.. da tA J A (t e r 1> 4A A Q � l
Inspector: M OA DbJL%- J
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by %o ---2 5 3
• 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)
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Date
FD2155 (Rev 6/2021)