HomeMy WebLinkAbout5108 TRINIDAD LAKE WAY_CAL WATER HMBP 3.21.24BAKERSFIELD FIRE DEPT.
• Prevention Services
U N I F I ED PROGRAM INSPECTION CHECKLIST 2101HStreet
Bakersfield, CA 93301
SECTION 1: Hazardous Materials Business Plan • ' Tel.: (661) 326-3979
Inspection Fax: (661) 852-2171
FACILITY NAME �/ � � 12-
INSPECTION DATE
INSPECTION TIME
ADDRESS is
�� a �r
� � � O r•, � � / �Q � e
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; 1,11 Minor
C E RS
Violation
COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
1010008
(� 14-1
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
5 2 .5 02-
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
2, 194) _ /40
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))
, a a
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED —(C 66262.34(o, CFC: 2703.5)
3030007
Y o L a
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: W . bm ouq=q�__
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
A J., C_
White — Business Copy Yellow — Station Copy Pink — Prevention Services
FD2155 (Rev 7/2022)