HomeMy WebLinkAboutHAZMAT INSP 3/2016UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
a BAKERSFIELD FIRE DEPT.
Prevention Services
3__.. E R 5.....F... D 2101 H 'Street
FIRE
aMYN r Bakersfield, CA 93301
FACILITY NAME
INSPECTI N DTkATE
INSPECTION TIME
¢ {s a
+,
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT , BUSINESS ID NUMBER
}p ]
i � � '�F 7 £�' �...w�F� �• � *� 'w .. � f R
LS ��kf �
. +..a' k 4', a.. r'k+
�
Consent to Inspect Name /Title
«v '✓en . c ,n3? .: ? . -.. ..... # # : .uL -4 f. ..� .. �.., e. "e'a ..`9 J. ...,:. +fie x '. �:- ,Y .;; ,.. .:.. ,...... >,
4 �"s "m ,fib
v,,.
s ""o pi x.t�...,
... 3`�a"'a,. ,. 1....
�x+ar�,��.�...
1. f �. %\. ..,.. ,y .< m*,.. ,...zt. t `F`e. ., . l .. i.. , ., 4 ', .:. .., , ..... :.,. ..... , �`,.3.•a, . .... Si. "xt.,,. ^v .�.>;
'X°r <: t,. �.,. .a ....:..> •. .... i'.., nn, x u�Mn,...^£ .. c.. :fi . ., �'i @:. `i. k" .h. a„
.
s vf{'.. ,. ;4, i uA � s„ h
,.'r t. xe,�`.,. ,:.> . .3,,. , . ..? x .. ,,.<:,. e vw... e,i a .., .... .,'"? «. a�..:'X':S"SC. 1• ,.,<:S . .Y s
.:9 e�
<� t s
n.
.a. "X 9"L. ♦ ,a. », .% >. i S.e,x „ ... e, ...,. .,.. : .. �:It ,.,�. ,,. ...,a 1 .. ... ., a.a a ) m, x, .. .•,. a '
>a . k.. . � . .. �. , .. a. .i. _ ':. e; <., ;.. , • ..a._. .:� M ., ,... �Y3, 5'. is x a. ,.xa .. r', .r.., ,. », Jm; .. , ..
;;._, .,,...,,. `�e..y,.<... i..,.'�.�r.><.....,.ee%�..e.., 3..:,.,>,,,,.,�,x,':,,, ",.:"X',.,,x,s �s� { �.... 3�'
.:,.•. .,<,. t. a: „t,,;£.. a.,,, .:;,�T:,�""^.r,�(sk^:'S.x.... :. ..'"�1§ ^f(v '.:: �.'� - r
"x,u, u ,.a vfr.t.,, �. , \fr a�„»:,, .a,..a.,:.a( ns,n >.,.:. ✓�<Ji>3 r.L.Li�� ry 1�,P,
<.1 ROUTINE El COMBINED El JOINT AGENCY El MULTI-AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Qompliance OPERATION
CERS
V =Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
-I I:
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
,Y
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
`mow
VERIFICATION OF HAZ MAT TRAINING (CGR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION - (CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO $ignature ofReceipt.
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• 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 - Station Copy Pink - Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8//14)