HomeMy WebLinkAboutHAZMAT INSP 9/2015-7 LS
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BAKERSFIELD FIRE DEPT.
Prevention Services.
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UNIFIED PROGRAM INSPECTION CHECKLIST F�eE.. - 2101 H street
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Haz-Mat Business. Plan and Inventory Program a Tel.: (661) 326 -3979
A Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHON O �yY
NO OF EMPLOYEES
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FACILITY CONTACT f
BUSINESS 1D NUMBER
C= Compliance) OPERATION
COMMENTS
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑. COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance) OPERATION
COMMENTS
V= Violation
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
12 ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Zf ❑
VERIFICATION OF INVENTORY MATERIALS " (CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
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VERIFICATION OF LOCATION (CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
F'� ❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
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❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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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)
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SITE DIAGRAM ADEQUATE "& ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NU
Explain:
i nature of Recei t: ; �r €ri �.
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
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• Correct the violation(s) noted above by
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)