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HomeMy WebLinkAboutHAZARDOUS MATERIALS INSPECTION 6-11-2015UNIFIED, PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection BAKERSFIELD FIRE DEPT. Prevention Services ...... ..... E.....9 ..._s...._F...._j.. P 2101 H Street FIRE ARTM T Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME `" CERS INSPECTION DATE INSPECTION TIME '+„"� ) M.n,•n' A� � $,.v+i: fiwa g �1 { A �^b �i �+rd'` � � '" P r � �T!� ryg,. ,M! n.,. Sr,b ��L..'�iw.v ` i, � APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS . y. .,• ° 'rs ., PHONE NO. NO OF EMPLOYEES BUSINESS PLAN CONTACT INFORMATION ACCURATE' „.!­ (CCR: 2729.1) 1010008..` TM' FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER Consent to Inspect Name /Title as, , a� ..,, � S�� �_, ,.. r.. « ': ><....:, s a r as . � , ,..,.,. ,.,_ a,: r . ,.. < ?� , �.,. .., >. �'"� .... u �. � ,�, aY ., .,k Axe u u ,.:< wWn: . a.... - .z:,.. �a� .:.a..>.a... .. « .. ... » <. ax'. , , s x.. ..`� : �, ,r ...... ,�.,. w ,,,. ,z,. ,�' ...?.a? .. .. a , ,' .rr.,a... « , .' �'w` ., r... t .,. , . w x .:. = x �.a mss., .. a:� ,s< ,. ,.. .?«` ;�i�« ,. y8, '�` 3': :. ^H 'Z.. $` f =. .._,k �. 4 .�,. IN ROUTINE 4 .... .. ...4 „.'%:.u.:..,..,_.��,. ,an...S�.gA.. „ %...,. „a..:aa.ru„�.u�>r*a���a < .5.:.«.... ..,4n:.s,•4;c �...rr.�i ,,.e::, r.. f,.., .,,. _t..;s3s.,....,.<. a .....,.f, #n..ts.�^,,,x Y�rc2,�h"J, fxa.i�,..k.,�' .xY'.,�'.� .,.r:3:;.« s�.9<.,..�i, r�i, .r: �_�..:..,.ak ,...,,.,_:::. x, ,,m a .. sa,. .. 'e'er$ ,.�,s,.?�`<,.,t`rPd ::4.`�,..m r „s.a<2��:"i..�, .,c ...�£'e.,- a;°�,'k��.+<..,?. "r ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V =G omplance OPERATION CERS V =Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 y ` BUSINESS PLAN CONTACT INFORMATION ACCURATE' „.!­ (CCR: 2729.1) 1010008..` TM' VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY, ,,(CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) VERIFICATION OF HAZ MAT TRAINING CCR: 2732 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) -' EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION ” (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? C�pYES 0' NO Si2nature ofRecei t, -` Explain w Inspector: POST INSPECTION INSTRUCTIONS: ° - • - Correct the violation(s) noted above by _ • Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted) Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Date White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 804) r 3 0