HomeMy WebLinkAboutHAZMAT INSP 9/27/2016UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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BAKERSFIELD FIRE DEPT.
Prevention Services
B .._S F I D 2101 H Street
F . ME""'"
F T M57 Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME I
INSIECTIO ATE I
INSPECTION TIME
i -
ADDRESS P
PHONE NO. N
NO OF EMPLOYEES
FACILITY CONTACT B
BUSINESS ID NUMBER
Consent to Inspect Name/Title
ROUTINE El COMBINED 171 JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT D RE-INSPECTION
C V -C= Compliance OPERATION CERS
V=Violation; 1,11 Minor 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)
X) CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 101 OWf-
VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
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
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906) 303003
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 101 . 0005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0 Signature of Receipt
Explain:
Inspector:
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)