HomeMy WebLinkAboutHAZMAT INSP 4/2015BAKERSFIELD FIRE DEPT.
rPrevention . Services
UNIFIED- PROGRAM INSPECTION CHECKLIST r 2101 H Street
3301
Bakersfield, CA 9
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
r; t PHONE NO. NO OF EMPLOYEES
ADDRESS 4.
r BUSINESS ID NUMBER
FACIyLITY CONTACT
onsent to Inspect Name /Title
Ef",JROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPERATION
V =Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505,1 BMC:15.52.020)
0,- ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑"` ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
,pp ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑' . ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
0' ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
9. ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
2 ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
[3 ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑,,° ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
' ❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
17'" ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
Er ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ["NO
Explain
Signature of Receipt:
MUST ]AS.rEU'_t'1V.N 11V`MAU1:11V1V�) rVK lc ivxly -tom -� vlvlri.uu�� r.:
• 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)