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HomeMy WebLinkAbout4550 COFFEE ROAD_HMBP 11.4.09UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Business Plan and Inventory Program B e R FIRE Prevention Services 900 Truxtun Ave., Suite 210 Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME v ( C= Compliance) OPERATION V= Violation INSPECTION DATE INSPECTION TIME ❑ ❑ APPROPRIATE PERMIT ON HAND ADDRESS S 5 T ^^ „ (I ❑ HONE NO. NO OF EMPLOYEES FACILITY CONTACT 0 Ki C USINESS ID NUMBER q A ^r'�n I-�9l l 8 +n oQ. y��,, �,� 15 -021- � v ( C= Compliance) OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ C) ❑ MBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION ❑ C v ( C= Compliance) OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ C) BUSIneSS PLAN CONTACT INFORMATION ACCURATE O n G �� ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL ❑ VERIFICATION OF MSDS AVAILABILITY ❑ VERIFICATION OF HAZ MAT TRAINING jit ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ❑ CONTAINERS PROPERLY LABELED ❑ HOUSEKEEPING ❑ FIRE PROTECTION ❑ SITE DIAGRAM ADEQUATE & ON HAND ANY HAZARDOUS WASTE ON P1, . $YES ❑ NO EXPLAIN W �j � , xp",- T sue. A, . �,.-o W&He_ QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 �� O G P&10-4-- P f G) _ Inspector (Please Print) Fire Prevention / 1" In / Shift of Site /Station # Bus / sponsible P (P Mrase Print) White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 -,� - �" Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST E E R s F 0 900TruxtunAve., suite 210 FIRE Bakersfield, CA 93301 jr SECTION 1: Business Plan and Inventory Program TN r Tel.: (661) 326 -3979 Fax: (661) 872 -2171 FACILITY NAME A "��� C��- -q INSPECTION DATE ) INSPECTION TIME COMMENTS ) L APPROPRIATE PERMIT ON HAND ADDRESS ^^ ^ n rc_<gr PHONE NOiO �O ^, 9 V NO OF EMPLOYEES FACILITY CONTACT Q �q BUSINESS ID NUMBER 15-021 - q n �.�� 2 n c? Q_ A o,,- -� ❑ Section 1..6'usiriess Plan and Inventory Program ❑ ROUTINE VP COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C v C= Compliance OPERATION V= Violation COMMENTS ❑ ❑ APPROPRIATE PERMIT ON HAND ❑ B� vv Business PLAN CONTACT INFORMATION ACCURATE c. ►'� 0 E �S ❑ VISIBLE ADDRESS ❑ CORRECT OCCUPANCY ❑ VERIFICATION OF INVENTORY MATERIALS ❑ VERIFICATION OF QUANTITIES �j ❑ VERIFICATION OF LOCATION ❑ PROPER SEGREGATION OF MATERIAL r. /IZID ❑ VERIFICATION OF MSDS AVAILABILITY 1 /v ❑ VERIFICATION OF HAZ MAT TRAINING ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ❑ EMERGENCY PROCEDURES ADEQUATE ®3 ❑ CONTAINERS PROPERLY LABELED ,h ❑ HOUSEKEEPING ❑ 291 FIRE PROTECTION 1l.+ \A C_ pI ❑ I; SITE DIAGRAM ADEQUATE & ON HAND ner -oUr� ANY HAZARDOUS WASTE ON V11 ? r'YES ❑ NO R EXPLAIN:— w S Q ;"'� ' * L'QPL�1 C}��ck- Doc e , d� f QUESTIONS REGARDIN THIS INSPECTION? PLEASE CALL US AT (661) 326 -3979 Inspector (Please Print) Fire Prevention / 1s` In / Shift of Site /Station # Busihess'Site %Responsible Pa (Please Print) a White — Prevention Services Yellow - Station Copy Pink — Business Copy FD 2155 (Rev. 09/05 CITY OF BAK ERSFIELID FIRE DEPARTMENT MlLNT OFFICE OF ENVIRONMENTAL SERVICES UNIM EID ]PROGRAM INSPECTION CHECKLIST 1715 'Chester Ave., 3'd Floor, Bakersfield, CA 93301 FACILITY NAME Section 4: Hazardous Waste. Generator Program INSPECTION DATE Z O EPA ID # 5 ,*S"^ 1 ❑ Routine 13 Combined ❑ 'Joint Agency ❑ Multi- Agency ❑ Complaint ❑ Re- inspection OPERATION C V COMMENTS Hazardous waste determination has been made EPA ID Number SXS Al-P -t- Authorized for waste treatment and/or storage Reported . release, fire, or explosion within 15 days of occurrence Established or maintains a contingency plan and training Hazardous waste accumulation time frames Containers in good condition and not leaking . Containers are compatible with the hazardous waste Containers are kept closed when not in use Weekly inspection of storage area Ignitable /reactive waste located at least 50 feet from property line Secondary containment provided Conducts daily inspection of tanks Used oil not contaminated with other hazardous waste Proper management of lead acid batteries including labels Proper management of used oil filters Transports hazardous waste with completed manifest Sends manifest copies to DTSC Retains manifests for 3 years Retains hazardous waste analysis for 3 years Retains copies of used oil receipts for 3 years Determines if waste is restricted from land disposal c;= k;ompuance/ pv= vtotation Inspector: Office of Environmental Services (661) 326 -3979 Whiter Env. Svcs. Business Site Respon le Party Pink - Business Copy