HomeMy WebLinkAboutHAZMAT INSP 5/27/2015UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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BAKERSFIELD FIRE DEPT.
Prevention Services
...... ..... .FRrRE.._P1. .......D 2101 H Street
1 a M-r" . , r Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) $52 -2171
FACILITY NAME _
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
BUSINESS ID NUMBER
FACILITY CONTACT
CORRECT OCCUPANCY (CBC: 401)
Consent to Inspect Name/Title
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❑ ROUTINE ❑ COMBINED El JOINT AGENCY ❑ MULTI - AGENCY El COMPLAINT 171 RE-INSPECTION
INSPECTION
C V = ompiance OPERATION
V= Violation; 1,11 Minor
CERS
Violation
COMMENT
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
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
z
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 (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
I Shmature ofReceipt
Explain:
Inspector• 1--IC- i 1l Z1, � Z-7-557—
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)