HomeMy WebLinkAboutHAZMAT INSP 3/21/2016UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous -
' Rim
4 { yp BAKERSFIELD FIRE DEPT.
.- A Prevention Services
n t: s F r t. n 2101 H Street
FIRE Bakersfield, CA 93301
' , R TM Tel.: 661 326 -3979
FACILITY NA E
�✓�, k -` i U
INSPE TIO DATE
,1 z 17/
INSPECTION TIME
owl
y-- Cr�1' .,e, 00-/-
io
`
PH NE NO.
;`7 7 - 7171
NO OF EMPLOYEES
Fax: (661) 852 -2171
FACILITY NA E
�✓�, k -` i U
INSPE TIO DATE
,1 z 17/
INSPECTION TIME
owl
y-- Cr�1' .,e, 00-/-
io
ADDRESS
f 2- y :
PH NE NO.
;`7 7 - 7171
NO OF EMPLOYEES
FACILITY CON
BUSINESS ID NUMBER
C IrvA q V-ci //,,e,
V 0
Consent to Inspect Name/Title
Section 1: Business Plan and Inventory Program
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V G=Compliance OPERATION
V =Violation; 1,11 Minor
C E R S
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)
X'
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
-�
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006,�
VERIFICATION OF LOCATION (CCR: 2729.2)
X'
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
p
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
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES fiVNO
i natureofRecei t 1j4V"11JA44y04
Explain:
Inspector: /V 1< VC, V: ' y G
POST INSPECTION INSTRUCTIONS:
® Correct the violation(s) noted above by
9 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 3"- 217- 16
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8#14)