HomeMy WebLinkAboutHAZMAT INSP 5/2015BAKERSFIELD FIRE DEPT.
Prevention SekVices
UNIFIED PROGRAM INSPECTION CHECKLIST *111 . ...... .... 2101 H Street
FIRE
A R
aRT Aff T Bakersfi eld, CA 93301
'XX . .... ... . .
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
r Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
C_
2,
ADDRESS PHONE NO. NO OF)EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
EVROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
• 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
COMMENTS
Si'jdCure (that alt. vi( :Xations have been corrected as noted)
k-
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD21'55 (Rev 1/14)
C V
u=uompwance OPERATION
V=Violation
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
13/❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
E❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
I
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
C�K ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1!r ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
171
VERIFICATION OF LOCATION
(CCR: 2729.2)
9— ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
13/0
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
9-*"� 171
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
171
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
D' El
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
E- �- El
HOUSEKEEPING
(CFC: 304.1)
150"'13
FIRE PROTECTION
(CFC: 903 & 906)
a' ❑
- SITE DIAGRAM ADEQUATE & ON HAND
2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
3"NO
Explain:
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
COMMENTS
Si'jdCure (that alt. vi( :Xations have been corrected as noted)
k-
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD21'55 (Rev 1/14)