HomeMy WebLinkAboutHAZMAT INSP 3/17/2016UNIFIED PROGRAM INSPECTION CHECKLIST
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SECTION 1: Hazardous Materials Business Plan
BAKERSFIELD FIRE DEPT.
Prevention Services
B....... .... P
2101 H Street
FIRE
ARM T Bakersfield, CA 93301
Tel.. (rAl ) 11921010
C V C=Gomphance OPERATION
C E R S
INSPECTION'DATE
INSPECTION TIME
FACILITY NAME
COMMENT
V=Violation; 1,11 Minor
Fax: (661) 852-2171
C V C=Gomphance OPERATION
C E R S
INSPECTION'DATE
INSPECTION TIME
FACILITY NAME
COMMENT
V=Violation; 1,11 Minor
PHONE NO. NO OF EMPLOYEES
ADDRESS
L 11 t-) ! 01 P-j L 0
45
e M1 j - / - Z ?—
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS ID NUMBER'
FACILITY CONTACT
-
Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
10N
❑ ❑ RE- INSPECTION
ROUTINE ❑ COMBINED ❑ JOINT AGENCY Y
COMPLAINT
C V C=Gomphance OPERATION
C E R S
Violation
COMMENT
V=Violation; 1,11 Minor
P'
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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))
VERIFICATION OF HAZ MAT TRAINING (CCR: 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 (OCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 07 YES 1771 NO
afore lbt f I
Signa 11tecef
Explain:
Inspector: C'14.f'� Y
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
Signature (that all violations have been corrected as noted)
Date
White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 804)