HomeMy WebLinkAbout130 DR MLK_NICKS TIRES HMBP 1.16.24UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
�bq Bakersfield, CA 93 301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME � ,
INSPECTION DATE,
INSPECTION TIME
*01
ADDRESS
PHONE NO.
NO OF EMPLOYEES
v j CV
FACILITY CONTACT
BUSINESS ID NUMBER
CONSENT TO INSPECT NAME/TITLE
f
Section 1: Business Plan and Inventory Program
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI -AGENCY ❑ COMPLAINT ❑ RE -INSPECTION
C v C=Compliance OPERATION
V=Violation; I, I I Minor
C E R S
Violation COMMENT
ACTIVE HAZARDOUS MATERIALS PERMIT (BMC: 15.65.080)
3010001
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729.1)
3210043r4
r
C'
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
oil W y- e
CORRECT OCCUPANCY (CBC: 401)4
f L - ' `�
! '1 i ;,,Iv `3I
r' i/ � 4'�V
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
+.Iv
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
CPO
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
'12 c t
VERIFICATION OF SIDS AVAILABILITY (CCR: 2729.2(3)(b))
�t j
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
! '1 /4a4A,
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
50 C, F 0 V '
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
�,� v I r „� c;
3030032
F
�.. 17_3
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature of Receipt
Explain: I
R /
Inspector: tW/zv"--
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by ( l
• 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
IV v
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 6i2021)
14? tr,,;