HomeMy WebLinkAbout2015 HAZMATBAKERSFIELD FIRE DEPT.
Prevention. Services
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UNIFIED PROGRAM INSPECTION CHECKLIST Fief 2101.H Street
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Haz -Mat Business Plan and Inventory Program X, Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPE TIO, DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
90o 1W0AJ7F_XC' -
P� " ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
❑ "P--APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Consenf to.l specl,- Na68�Tf e. -
❑ ERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V , C C= Compliance . OPERATION
V= Violation
COMMENTS
P� " ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑ "P--APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ ERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑ '"BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
y,ld ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
.
❑ 'P _' VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ . VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
.."P ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING. (CFC:304.1)
❑ FIRE PROTECTION (CFC: 903 &.906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 1ES. ❑ NO
Explain:
Si nature of Recei t:, r1`
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
Correct the violation(s) noted above b F r '' L Signature (that all violations have been corrected as noted)
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• 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
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy. FD2155 (Rev 1/14)