HomeMy WebLinkAboutHAZMAT INSP 6/3/2013UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
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FACILITY NAME
FIRE DEPT.
13 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 1771 RE-INSPECTION
Prevention Services
aBAKERSFIELD
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2101 H Street
FIRE
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Bakersfield, CA 93301
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Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
13 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 1771 RE-INSPECTION
INSPECTION DATE
INSPECTION TIME
CERS
V=Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
FACILITY CONTACT
1010008
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
2
CORRECT OCCUPANCY (CBC: 401)
Consent to Inspect Name/Title
—
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
Inspector:
POST INSPECTION INSTRUCTI&S.
• 14
Correct the violation(s) noted Love b
• Within 5 days of correcting all of the violations, sip and return a copy of this page to: `Signaffire (that all violation'sh'ave�'6een corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8//14)
13 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 1771 RE-INSPECTION
C V C=Gompliance 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
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
firs
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
fi
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (OCR: 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
Oignature of Receipt
Explain:
Inspector:
POST INSPECTION INSTRUCTI&S.
• 14
Correct the violation(s) noted Love b
• Within 5 days of correcting all of the violations, sip and return a copy of this page to: `Signaffire (that all violation'sh'ave�'6een corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White - Business Copy Yellow - Station Copy Pink - Prevention Services FD2155 (Rev 8//14)