HomeMy WebLinkAbout2016 HAZMATBAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 2101 HStreet
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ARt� �` Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tei,: (661j 326 - 3979
Fax: (661) 852 -2.171
FACILITY NAME
IN�Sj�PE/�-j�fw'T(IO ATyE
INSPECTION, TIME .
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COMMENTS
ADDRESS
PHONE NO.
NO OF.EMPLOYEES
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❑
FACILITY CONTACT
BUSINESS ID NUMBER
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W 7
73 71
Consent to Inspect Name /Title
C
V
�:C= Compliance) OPERATION
V= Violation
COMMENTS
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VISIBLE ADDRESS
(CFC: 505.1, BMC:_15.527020)
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❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
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❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:2729,1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)��
LAPD A-T t�_
❑
VERIFICATION OF QUANTITIES _....... __. _..._...
.. (CCR '.2729.4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)��"
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑ '
VERIFICATION OF HAZ MAT TRAINING
(CCR:.2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR :2731(6))
❑
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EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
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❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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•HOUSEKEEPING
(CFC: 304.1)
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❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
PNO
Explain:
Si nature of Recei
POST INSPECTION INSTRUCTIONS FOR RETURN -TO -,COMPLIANCE:
Correct the violation(s) noted above by'"'�0 2 / Signature (that all violations have been corrected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)'