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HomeMy WebLinkAboutHAZMAT INSP 5-2011KERN BUSINESS FORMS - (661) 325 -5818 - #6013 UNIFIED PROGRAM INSPECTION CHECKLIST B SECTION 1:; Business Plan and Inventory Program FACILITY NAME AJ F -1 9 ADDRESS FACILITY CONTACT Consent to Inspect Name/Title BAKERSFIELD FIRE .DEPT. a w Prevention Services S...F. I L... D RE 2101 H Street 'rm r Bakersfield, CA 93301 ` Tel.: (661) 326- 3979 Fax: (661) 852 72171 INSPECTION DATE INSPECTION TIME PHONE NO. NO OF EMPLOYEES BUSINESS ID NUMBER ROUTINE ❑ °COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY 'COMPLAINT ❑ RE- INSPECTION C \/ (C= Compliance) O P E RATION V= Violation COMMENTS ❑ APPROPRIATE. PERMIT ON HAND (BMC: 15.65.0$0) © ❑ Business PLAN CONTACT INFORMATION ACCURATE (CCR.: 2729.1) LJ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) ❑ CORRECT OCCUPANCY (CBC: 401) ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) C El VERIFICATION OF QUANTITIES (CCR: 2729.4) e ❑ VERIFICATION OF LOCATION (CCR: 2729.2) n ❑ PROPER SEGREGATION. OF MATERIAL (CFC: 2704.1) i ®� ❑ VERIFICATION OF MSDS AVAILABILITY (CCR: 2729.2(3)(b)) ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) _,.. ❑ VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR- 2731(c)) Ci ❑ EMERGENCY. PROCEDURES ADEQUATE (CCR: 2731) CONTAINERS PROPERLY LABELED (CCR: 66262.34(fl, CFC: 2703.5) ❑ HOUSEKEEPING (CFC: 304.1) LEI. ❑ FIRE PROTECTION (CFC: 903 & 906) l E ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) ANY HAZARDOUS WASTE ON SITE? ❑ YES [9 NO !Si nat EgofReceipt 0 Explain: i POST INSPECTION INSTRUCTIONS: a I • 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: ignature (that all violations have been. corrected as noted)