HomeMy WebLinkAboutHAZMAT INSP 4/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLISTI, 2101 H Street
FIRE
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jAA aRT N T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
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FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Insp p 9 Name/Title
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 1:1 RE-INSPECTION I
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V
r C=Compliance) OPERATION
COMMENTS
V=Violation
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01
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
T -Ttt, S, E o e AT
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
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VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
1:1
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
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❑
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VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731 (c))
11,1� ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
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❑
CONTAIN ERS,P'RO:PERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
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(CFC: 304.1)
❑
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FIRE PROTECTION
(CFC: 903 & 906)
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❑
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SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Explain:
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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)