HomeMy WebLinkAboutHAZMAT INSP 5/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
rill
ADDRESS
% 6,
FACILITY CONTACT
'onsent to Inspect Name/Title
FIRE
BAKERSFIELD FIRE DEPT.
Prevention Services
1. P
I 1 1 2101 H Street
A FM
AR T Bakersfield, CA 93301
Tel.: (661) 326-3979
401h.
f�� Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
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PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
❑tOUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT [I RE-INSPECTION I
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
EY
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑""
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65;080)
E3,-
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑"
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
0'
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑,
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
2'
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
[3'
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
ET'
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
C
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
ID
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0' ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ ""
❑
HOUSEKEEPING
(CFC: 304.1)
Ug'
❑
FIRE PROTECTION
(CFC: 903 & 906)
01"
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑,,,NO
Explain:
Signature ofRiMpt:.
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-UOMPLIANC•:
• 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)