HomeMy WebLinkAboutHAZARDOUS MATERIALS INSPECTION 5-22-2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST? ... ........... ..... . 2101 H Street
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Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program -3979
Tel.: (661) 326
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS F PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/TiV,
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CI- `ROUTINE ❑ "C' 0"'.M'BINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
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G=(Amphance OPERATION
V=Violation
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
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CERS'UPDATED FORTHE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑ I
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
[37 ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0, F-1
VERIFICATION OF LOCATION
(CCR: 2729.2)
/ ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
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EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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HOUSEKEEPING
(CFC: 304.1)
❑
FIRE R,ROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑"'YES ❑
NO
Explain:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sip and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
COMMENTS
Signature (that all'violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)