HomeMy WebLinkAboutHAZMAT INSP 6/5/2015r BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 11 FIRE 2101 HStreet
. s .. ARM
CA 93301
Bakersfield,
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
rw Fax: (661) 852 -2171
FACILITY NAME a ; $$j INSPECTION gDATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMP�OYEES
FACILITY CONTACT M -� r Y. � BUSINESS IUD NUMBER 6
'k"°""`",,+a` .Y"i �... ,. ;f � :�; tro L•...r..• 4«,.,... ,'� ,.,,;,,..e ,r'' ..s:.w... -_. .,,,,kn i'
Consent to Inspect Name /Title
II ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
C
V
C= Compliance OPERATION
V= Violation
COMMENTS
f'Rc
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
❑,,
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
El
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
Cl , ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
11
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑��/
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El"'
'
El ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
V.
13
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
it
❑/
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
0
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑I"
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑`"
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
NO ,r
Explain:
SWnature of Receipt:
POST INSPECTION 1NSTRUC'I'IONS4',O t RETUKN =1'0 ;(.;O1 L1ANC:E:
• Correct thelolatlon(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
z
Signature (that ai violat es have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)