HomeMy WebLinkAboutHAZMAT INSP 4/2015BAKERSFIELD FIRE DEPT.
_ - Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST, = A.,._ E_,_R:..S.._F_..I ...
FARE 2101 H Street
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HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS �- d, f PHONE NO. NO OF EMPLOYEES
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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
( `= uompiiance, OPERATION
V =Violation
COMMENTS
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❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
Id
011
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CJ's
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
ICI
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
l� I
El
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
f ,
El
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
E3"
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
M
❑
SAFETY DATA SHEET AVAILABILITY (CCR:.2729.2(3)(b))
0"
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
Id
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
Y
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
15"
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
l� I
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
f ,
Explain:
i nature of Receipt ,
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POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)