HomeMy WebLinkAboutHAZMAT INSP 4/16/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
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AR Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAMEi r r
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
3
PHONE NO.
-7- P!
NO OF EMPLOYEES
7
(BMC: 15.65.080)
0 ❑
FACILITY CONTACT
BUSINESS ID NUMBER
IF7i 7 3 0 0
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Consent to Inspect Name/Title
❑
VERIFICATION OF INVENTORY MATERIALS
n ROUTINE ❑ 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)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
0 ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(OCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
' CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
,❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
,0° 1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
/Eir, ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
,0 ❑
FIRE PROTECTION
(CFC: 903 & 906)
.ff ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? A:f YES ❑
NO
Explain:
Signature of Receipt:
- — 4,
FUSIJASMULIUA ENSIRUUTIUANJU UlK KETU"-1 U-UU1VWL11k1NL;h:
• 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)