HomeMy WebLinkAboutHAZMAT INSP 6/20161211AKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 1 2101 H Street
FIRE
Rnkersfield- CA 93301
A nRrff r
Haz-Mat Business Plan and Inventory Program Tel.: 661) 326-3979
A lRaz) 852-2171
FACILITY NAME INSPIEC, JON DATE wINS-PECTION TIME
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Iv _V
L
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ADDRESS PHONE NO. NO OF EMPLOYEES
D 0
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to Inspect Name/Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
v
C=Compliance) OPERATION
V=Violation
COMMENTS
_0
1771
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
541
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
1:1
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 27291.4)
Q,
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
El
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
R1
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
9
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
El
171
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
fl
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
El
❑
FIRE PROTECTION
(CFC: 903 & 906)
Q
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES R
NO
Explain:
Si2nature of Receipt:
P0S'1'1NSPEU'1'10N 1NS'1'.KIJUT10NN F K KEru"-'1:0-C MrLiANCE:
• 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
Signat&-.(&at all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)