HomeMy WebLinkAboutHAZMAT 2015❑
ROUTINE r, COMBINED ❑ .JOINT AGENCY
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST';
>3.. F. R S F I D
2101.HStreet
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Haz -Mat Business Plan and inventory Program
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FARE..
Bakersfield,. CA 93301
Tel.: (661) 326 73979
VISIBLE ADDRESS (CFC: 505.1, BMC:1.5.52.020)
Fax: (661) 852 -2171
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
FACILITY NAME
CERS UPDATED FOR THE CURRENT CALENDAR YEAR.
(H &S 25404(e)
INSPECTION DATE
IN$_PECTION TIME
BUSINESS PLAN CONTACT INFORMATION ACCURATE.
ADDRESS
�❑
PHONE NO.
NO OF EMPLOYEES
A_ �^
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
�, ❑
VERIFICATION OF LOCATION
FACILITY CONTACT
❑
BUSINESS ID NUMBE�Rga
(CFC: 5004.1)
_,Q ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
Consent to I p t Name /Title
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
- _ a
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
' ❑
❑
ROUTINE r, COMBINED ❑ .JOINT AGENCY
❑ MULTI- AGENCY ❑ .COMPLAINT El RE- INSPECTION
C V
C= Compliance . O P E RAT.I O.N
(
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:1.5.52.020)
rT❑
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)
.� ems❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
�, ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
_,Q ❑
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
(CFO: 304.1)
o
FIRE PROTECTION
(CFC: 903 & 906)
rd ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729..2(3))
ANY HAZARDOUS WASTE ON SITE? y,�I'YES ❑
NO
Explain:
i nature of Recei t:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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 violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)