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HomeMy WebLinkAboutHAZMAT INSP 3/14/2016UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inenar_tinn r, BAKERSFIELD FIRE DEPT. Prevention Services $....... E..._R...._S...._F...._!.. .... D 2101 H Street FIRE Bakersfield, CA 93301 aRT M r Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSQECTION DATE INSPECTION TIME p _ �. APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) ADDRESS PHONE NO. NO OF EMPLOYEES BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR; 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) BUSINESS ID NUMBER FACILITY CONTACT Consent to Inspect Name /Title a r K c 3 v 2<nv, .,. „=�i..,<,�ST'.# s� z?' .ee ,. ✓.. .. .» h ., 3n, x:: .. �>:' _. e'u n . ra. r ?5 s -.m y. „,,�, , ,,:. :,.....<, ,. s ,. z:uu, t' < ..a. k 1 3'; ,s,. .... ,... .. ',f x�,.,., ,. r. .� u. ?... a.. >.. k� ...,, )) .., us`i•¢,a'. ,s ,. », x. � 'iT., .. R. �•?on E. ,w,.�. L ., ::Y .�xF r5 A. .. . 'v fi ,w..» ..,. . x!R ... »..:. ,,. v .y<.? � �?w '.c'Y . a. :. , : k ,'u �'✓ =iaz:x..... ..<.r�n. .. 3' <. x 1i : <..k .... ,. ..., .:,.a.Yf � k. 3.� ne::i,, : ! :. .. Y 4R , \. x ','^f.:, '- .. v. ay.. as <., .e.. }.r:;? �,`4x, N �.. � a. ... •"^< ...... air � e»,a' s e. a,l: �'.: .. , • � J, 'isl. ? ,. .., .S ...x ..,... . < w ...,.<':..a .. SW r, x:..., `a S '.'a. 'a 4 G �f e, .. .. '�. > �.r �'S. �f`1'i .... �.,Y s. i+ - 'rw ;5.,..:, ..Z• 3' u a 1.�.,, r., \< - F.,, � ; ., Y: .., t -: Z. �,4�<: : �, <nNb', e ..¢';?:ay.. . H• sG,.. "'�,.1. S s sn4 �, �k �' ..i, D $.''r �i�',� h., .. 3' �Y ttn .,�; ., w. Y•, ,.s:v �� , ..., _. Yy, i ax .3..S '.. �. at.,.£,. i� il3 M. �. ^`✓S L.s. ...:. ..x .�, y .. .,Cra. ..,.L. .. �,y uz ¢ ,.. ,s��f�;:� ' .,. ,.'�. ?s �° R. ux• �:s�,t �,... � �. � .a.. M. S' .. ..,. ,. ,.. E.. '�4'ki o fi�o.'... s£' : .s $. 'G..a• aF d... �a •� {: Y Y '•:i`.'. -.,.5 z.. %,. �..,i,. 3a. .a» , ,. ,., ... .. . :o.xx. �Z?5 :xx .., iS: -. r _. :�.Y° ..., s_: .vim.: x ..., u. 1. x. «, ... .. .. s<. ,YF ,_. ,. i 1 .e... :.. .� .. n, ...saw. .,.. J r ..£ .. r,.. n. /. .<.,x <. r. .. a ,.� <.v. :& c; �•«r �< .,m�, ... 3a :..., ,... „.€,,. ,.7, �. o .... "z ,>F.. .� „s "s.. F.,r, 3_. �. .,k �.:,'r ,.r'�Sr.=a, .:F,i..,,�„ ..., x�CY, 3:�:.,c aY....��ar ...,, »...<w:.,.ar x` =,. 3^u'�a.,..!:ii� . �' 3 =>sxhn. 'r��� »�b�FeT�:f'�� z $ �z�. �'..�- z;=;�.,,,;s,:�'., :,_�,.., � ..,��:� ...o �s.:;...r ,iv E�x��'..,l,�a .�;, v� <'x"'_.�Y, ��� <. �:...f:, +'a ., r:�,:,.� ..��x:`z, , ,� &., ,3:#,.s ,>�:•s. ,..:,�..�.,,,p „�..m, <: 0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V G=Gompliance OPERATION V =Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR; 2729.1) 1010008 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 y. VERIFICATION OF LOCATION (CCR; 2729.2) ell PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) { VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) r r� 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 I, HOUSEKEEPING (CFC: 304.1) FIRE PROTECTION (CFC: 903 & 906) 3030032+ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 fr - ANY HAZARDOUS WASTE ON SITE? ❑ YES ,NO Signature ofRecei t Explain: Inspector: t:.. 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 8H14)