HomeMy WebLinkAboutHAZMAT INSP 1/28/2015B,A,KERSFIELD FIRE DEPT.
Prevention Services
aRrm
UNIFIED PROGRAM INSPECTION CHECKLIST„ 2101 H Street
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program r
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
OA) t 0/,"
FACILITY CONTACT BUSINESS ID NUMBER
Consent to In Name /Titl
r
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY . ❑ COMPLAINT ❑ RE- INSPECTION .
C V l C =Compliance OPERATION
V= Violation
COMMENTS
r ❑ VISIBLE ADDRESS. (CFC: 505.1, BMC:15.52.020)
s ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
:" ❑' ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
,,E °� ❑, BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
p`- ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
.,0 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
FCr ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
.CQ . ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑' ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
jl' ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
,-❑ ` 'El VERIFICATION OF ABATEMENT SUPPLIES, AND PROCEDURES. (CCR:2731(c))
!❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ 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? ❑ YES -..-1 NO
Explain:
i nature-of -Recei t: .
POST INSPECTION INSTRUCTIONS FOR RETURN -TO= COMPLIANCE:
• 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:
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)