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HomeMy WebLinkAboutHAZMAT INSP 6/15/2016UNIFIED PROGRAM INSPECTION CHECKLIST . ........ . ............ SECT 1 O N 1: Hazardous Materials Business Plan Incnrar±tinn BAKERSFIELD FIRE DEPT. FACILITY NAME g °& INSPECTION DATE INSPECTTIION.TIME 0 "ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = omp iance OPERATION ADDRESS ,,, .1 xs r ra- � ,��,Frr C y PHONE NO. F J �"""x � ;.,. s•. � } . NO OF EMPLOYEES � S , ., F "Y s COMMENT FACILITY CONTACT BUSINESS ID NUMBER kr tea. Consent to Inspect Name /Title -.: > .;k.. � Y ," e .. B f > z :., '3" � ". w a'.a \ Ati: A) vY•' '� b;�r �''fiF xt'S -',. 'V'sb$SJ 4s "8 's ':'� '�Y"+` .3 a�:; :, , ut kF, ' �: K,v :s.. 'n r( x a.. ,x . .„� Y . •s . � i i, kl - e � , w . ., . �. � .n n '$ rc/4r.� ,. : ' , � x . G .^ . .vrrz . ,, y . .. w . : K � w� <. sk> ., . e , . .> n : . " Ta , .?r� ..� k � 'x r . x . : mr . .' a.k s`� .� y S .. .k .. . x, . .�'.�� . .. F&,, .. eaa. . Y. . : �°.;. > »n.c . t � W. . 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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) E CORRECT OCCUPANCY (CBC; 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 j. VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) x PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) Y 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 fca "//<o HOUSEKEEPING (CFC: 304.1) *" V FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES E," NO ii natnreofRecei t Explain: Inspector: r. a,._... POST INSPECTION INSTRUCTIONS: l Correct the violation(s) noted abov�by Within 5 days of correcting all of Die violations, sign and return a copy of this page to: Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 Signature that all vio ons have been corrected as noted) _-- Date wh;tP _ Rna ;nPSC C.Anv Yellow —Station Conv Pink — Prevention Services FD2155 (Rev 8H14) CUSTOMER:+.. _ / ( Signature) (Please Print Name Legibly, Title) �t 3 t AP NO.: 36 INSPECTOR: t ` (Signature) White - Customer /Original Yellow - Station Copy Pink - Prevention Services �. .. m- - �--, -- - �--- - ',- r _ -- I BAKERSFIELD FIRE DEPARTMENT , 1 C.B.C. 't ' �, Prevention Services � Floor B.M.C. FIRE PREVENTION INSPECTION � 1501 Truxtun Avenue is' � NATIONAL FIRE PROTECTION R s s � E $ FIRS Bakersfeld,'CA -93301 a NATIONAL ELECTRIC CODE • 661-852-2171 �iAT1Y T Phone: 661 - 326 -3979 Fax: FD 2022 (Rev. 03/08) EE BLOCK NO. DATE DISTRICT FACILITY g CITY, STATE, ZIP ADDRESS ' 6 MANAGER'S NAME PH NO. FACILITY NAME CITY, STATE, ZIP PH NO. BUSINESS OWNER'S NAME AND ADDRESS PH NO. CITY, STATE, ZIP, BILL TO: (IF DIFFERENT FROM ABOVE) NAME, ADDRESS t ' RISER DAT t`sd a OCC LOAD NO. O FLOORS HIGH RISE IfD G O I�YPE 13 YES NO t kel REQUIREMENTS CORRECT ALL VIOLATIONS VIOLATION CHECKED BELOW NO - Remove and safely dispose of all hazardous refuse and dry vegetation on the above premises (CFC 1 COMBUSTIBLE WASTE / DRY with tight fitting lids for the storage of combustible waste and VEGETATION 2 Provide non- combustible containers rubbish pending its safe disposal. (CFC 304.3.1) Relocate combustible storage to provide at least 3 feet clearance around motor fuse box /fire door (CFC C OMBUSTIBLE STORAGE 3 605.3) Relocate fire extinguishers) so that they will be in a conspicuous location, hanging on brackets with the floor. (CFC 906.5 & 906.9) 4 top to the extinguisher not more than 5 feet above the _ approved (type & size) ____________ __ _ _ __ portable fire Provide and install (amount) ____ __________ (CFC _ EXTINGUISHERS 5 ---- - - - - -- - extinguisher to be immediately accessible for use in (area) ________ ,...._ c =� TABLE 906.3(1)) Re- charge all fire extinguishers. Fire extinguishers shall be serviced at Feast once each year, and /or (CCR TITLE 19: 575.1) 6 after each use, by a person having a valid license or certificate. Provide and maintain "EXIT" sign(s) with letters 5 or more inches in height over each required exit 7 SIGNS'" (door /window) to fire escape. (CFC 1011.5.1) numbers on a contrasting background and visible from the street to - -._ r $ Provide and maintain appropriate indicate the correct address of the building. (CFC 505 g Repair all (cracks /holes /openings) in plaster in (location) ----------------------- its fire resistive condition. (CFC 703.1) FIREDOORS/ Plastering shall return the surface to original FIRE SEPARATIONS --- ----- ------------------------- lo Remove /repair (item &location) ____________________ doors shall be designed to close by gravity, or by the action of a mechanical device, or by an capable of Self- closing approved smoke and heat sensitive device. Self- closing doors shall have no attachments (CFC 703.2) preventing the operation of the closing device, all obstruction from hallways. Maintain all means of egress free of any storage. (CFC 1028.3) 11 Remove EXITS n exit. (CFC 2403.12' 6) 12 Provide a contrasting colored and permanently installed clarrly find catlegit as a a (location) -- ------------------------ landings and stairways stair shafts. (Fire 13 Remove all storage and /or other obstructions from fire escape free from obstructions at all times.) (CFC 1028.3) STORAGE escapes /stair shafts are to be maintained Install additional approved ( Extension cords shall not be used in lieu of permanent approved wiring. 14 ELECTRICAL APPLIANCES electrical outlets where needed. (CFC 605.5) outlet (one plug per outlet) (CFC 15 Remove multiple attachment cords from specific electrical convenience 605.4) NG 16 Recreati onal fires or o en burnin CC 1102 tOUTDOOR 17 Violations of Section 7802 (GFC) & 8.49.040 (B.M.C.). 18 CUSTOMER:+.. _ / ( Signature) (Please Print Name Legibly, Title) �t 3 t AP NO.: 36 INSPECTOR: t ` (Signature) White - Customer /Original Yellow - Station Copy Pink - Prevention Services LEGEND: C.F.C. CALIFORNIA FIRE CODE C.B.C. CALIFORNIA BUILDING CODE B.M.C. BAKERSFIELD MUNICIPAL CODE N.F.P.A. NATIONAL FIRE PROTECTION ASSOCIATION N.E.C. NATIONAL ELECTRIC CODE FD 2022 (Rev. 03/08)