HomeMy WebLinkAboutHAZMAT INSP 2/2015UNIFIED PROGRAM INSPECTION CHECKLIST
..........
SECTION 1: Hazardous Materials Business Plan
BAKERSFIELD FIRE DEPT.
Prevention Services
$.......: .... E...._R...._s...._ .... j.. ........ D 2101 H Street
FIRE' Bakersfield, CA 93301
AM FAIT T
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
., . r
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
w
Date
FD2155 (Rev 8H14)
INSPECTION DATE
INSPECTION TIME
FACILITY NAME
s'
PHONE NO.
NO OF EM.RLOYEES
�, �� ".�-
ADDRESS . � '`
""
�`,✓;£ {/
f
�
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
Y k v
. 'y✓ '1oW
:. :..x ar � 'i .
. .: ,
S .<..'fi . .�.. G ' D �
> '.' ': �
. . �, .x
�;. 3
s� ` '; � .. .', . �
I>.`'d . 'c t �a ,
. S d 'v„ 3. Y. �x .....
v , . Nr i�,ZrT' L.:
w.•. 5; h a.,.x rf ... 1 .i.
` 1
S. s
w t
,.. x . � 4..:. .<S5.
.. :. �i
x
: rk,a.,:
� ,
'az x.z `. • : %�.. ,i. ',e Yr� ...
LEON, x.a...a £.v x
,�� .
a.,\. : ,x . .
r�
a @.�.
P ,.,.:'q
. . r . y r , .-<... , a l x .
a... .. . . . . .,.... ,. «.: t .w .. . . , . o .,. (
e .... ...:..,. .. . , .. . ? . .,.. . ".^.x. ..,. , 3 f< .Z. . .✓ ,.?. .'/. ','.3....> . i ,.. ,., ,1 . . � '. i
F., a. . . ..x .. x,a .. ✓ 'r ., b . .al. . :. n ..W . x. �,, . .3 . .: C ... � , <c, . r. ,.. ,. d'.. � •,�,. . .S .T : e.,. .lw.':•.S:. x : . . .: -,. .,.y. 3 { . x £ . r:4 . r. ,.: ..... . f: .s.
., L'6+ ✓.r .3"F. t. .. v,<ai:?e.: �. a.,. «.. ,,. i'`�., e: "a"S'. , .x, ,
'
K.' k " s .9 ,k'�+.. ,.sx `F f4,. •4",N,. .r, .. ,,.a .: r, /..:, X.<..x. SS „ >... f•:,,. �...,5. 'F a. ., (e a: ', ,.,kS ,,. � i44^.,£i,.. s; .�'.,�• �
. ... xX ..r�,t �;.4 3.. ?... � „ . .f .,, X. ;� s .v x. ....m 5.•..i>r....Y,. .., x ,,.. �' :.., „ r s ,. k ., .:. ,. -:.. , :. , l". ...2' -a"i . gp
. �} .... Gx• .. $�. re a.. .�xfir4,' : :K.s. b J ., ffi � �.. •r r. ,S,S , .. - S 5 .i : i .. : .x - ,.. ,y?>R
„ �," Q .11...i' SR ,. &`i.sa#,. ki•... ..a %Y:,;K § ..,.,a. , .,.. ✓at. .. r. >< ,,. i ,. , ., ' - £ . :.. ._. e� 1 ., s �.* uX: s::.3 /r S'� S� %� d 6 1 s ,�. $ate Yx,.':�'•� Y' "�LF.�7f
.,. •ca'.. "��.£ �. .frk,v .,.n. ) z.... .. a. r ax •, .<. .... 1yy�:.. �. It�i+�i x� .✓ ..: -.,a � Fr .,..:<3 ,?... ,., ..n,...
s Sn,,. a. :'U % 3,'a �e.6:£t" Yn :$:o. _l'..... -0 a7,. ., ... /�./'� r '� ,y s ,, ... ? i�,�.e .5 =5�� � T .,C, .': � .✓ ,, M' 3 '✓�r. .»rah vSf ,v ..�£,x .�,w :su
�vmr yx,3 .,,.. x.Abs•.^Ss.,..xa.3 ., M..ra....... �:..
x�.as vx. r.,
N
NN, - INSPECTION
1-1 JOINT AGENCY ❑ MULTI - AGENCY COMPLAINT RE
ROUTINE COMBINED
C V = ompiance OPERATION
CERS
COMMENT
V= violation; 1,11 Minor
Violation
f'r 1.1 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)
a
CORRECT OCCUPANCY (CBC: 401)
m.� , ~•
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
101 0004
1010006
�X
�
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
t;
F'
VERIFICATION OF HAZ.MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
1020002
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)
r
3030032
,r
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
NY HAZARDOUS WASTE ON SITE? - Ef';YES ❑ NO
§ignature of Receipt
Explain: 1 # -F
., . r
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
w
Date
FD2155 (Rev 8H14)