HomeMy WebLinkAboutHAZARDOUS MATERIAL INSPECTION 6-9-2014KERN BUSINESS FORMS- 166113255018 -MW13
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST evfes' " 2101HStreet
AB7M f Bakersfield, CA 93301
SECTION 1: Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPrCTION DATE INSPECTION TIME
GC Cc Q. PA c.- (Y)fI. N WAN
ADDRESS n �� O Ql N './ PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT L• BUSINESS ID NUMBER
IC
C
V
C= Compliance OPERATION
V= Vlolaeon
Section 1: Business Plan and Inventory Program
COMMENTS
IS6
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ROUTINE
❑
COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT
❑
RE- INSPECTION
C
V
C= Compliance OPERATION
V= Vlolaeon
COMMENTS
IS6
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
El
't5l,
Business PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
g_1 C
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
9
❑
CORRECT OCCUPANCY
(CBC: 401)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
❑
VERIFICATION OF MSDS AVAILABILITY
(CCR: 2729.2(3Kb))
EP
❑
VERIFICATION OF HAZ MAT TRAINING S
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
.'�
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34(1), CFC: 2703.5)
51
11
❑
',O
HOUSEKEEPING ..
FIRE PROTECTION
(CFC: 304.1)
(CFC: 903 & 906)
S'cr „,cc- SP.'-� �.
,fa
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
ANY
HAZARDOUS WASTE ON SITE? RYES ❑
NO
Si nature of
Explain:
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l
POST INSPECTION INS I RUC IIUNN: 140 --
• Correct the violation(s) noted above by \ ( Signature (that all violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: