HomeMy WebLinkAboutHAZARDOUS MATERIALS INSPECTION 3-12-2015BAKERSFIELD FIRE DEPT.
Prevention Services
A. _E R. S F t , A
UNIFIED PROGRAM INSPECTION CHECKLIST - - 01 H Street
FIRE 1
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Haz-Mat Business Plan and Inventory Program >< Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
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INSPECTION TIME
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ADDRESS
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PHONE NO.y p
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NO OF EMPLOYEES
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APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER
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CERS.UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
Consent to Inspect Name /Title
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BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS.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)
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❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
f
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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❑
HOUSEKEEPING
(CFC: 304.1)
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❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
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ANY HAZARDOUS WASTE ON SITE? ,OYES ❑
NO
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Explain:
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Si nature of Recei�
FUSTEN (.;' MI N11V�iIKUUT MIVNJNVKKhIUKiV= 1V- l;V1VMA1VUrl:
• 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:
Bakersfield Fire Dept.,, Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all vjok ions have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)