HomeMy WebLinkAboutHAZMAT INSP 2-11-15BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST xr FIRE 2101 H Street
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AR If/ f
CA 3301 .
Bakersfield, 9
Haz -Mat Business Plan and Inventory Program Tel.: .(661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSP CT10 DATE INSPECTION TIME .
ADDRESS PHONE NO. NO OF EMPLOYEES
J
FACILITY CONTACT BUSINESS. ID NUMBER
Consent to Inspect Name /Title
❑
Q° ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
(CCR: 2729.2)
W
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
,
C
V
( C= Compliance, OPERATION
V =Violation
(CCR: 2729.2(3)(b))
COMMENTS
❑
❑
❑
VISIBLE ADDRESS (CFC: 505.1; BMC: 15.52.020)
❑
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ '
EMERGENCY PROCEDURES ADEQUATE
❑
Eb
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
I;
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
I
❑
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR--0293)
❑
❑
El
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
-
��..
❑ NO
Explain:
Si nature of Receipt: .
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
W
❑
❑
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))
❑
❑ '
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
❑ NO
Explain:
Si nature of Receipt: .
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
0 . Correct the violation(s) noted above by
0 Within 5 days of correcting all of the violations, sign and return a copy of this page to
BakersfieldFire-DeV., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return -to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)