HomeMy WebLinkAboutHAZMAT INSP 1/26/2016- BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST:: F- .R- ...- F...t. l..n 2101 HStreet
,FIRE
aker
ARTM t CA 93.301
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Haz -Mat Business Plan and Inventory Program Tel.: (661) 326.3979
Fax: (661) 852 2171
INSPECTION DATE INSPECTION TIME
FACILITY NAME
PHONE NO. NO OF EM PLOYEES
ADDRESS' "t +.two~'"
BUSINESS ID NUMBER
FACILITY CONTACT
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br n
Consent to Inspect Name /Title
❑ ROUTINE El COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT RE-INSPECTION
C
V
r C= Compliance OPERATION
l
COMMENTS
V= Violation
"❑
❑
VISIBLE ADDRESS (CFC: 505.1,
BMC:15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
'a]
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
Q
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
0
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
z❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
[1
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
® ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
Y
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
]
❑
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
i nature of Recei t
E x: p l
a i n:
-. .
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
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mow_: �,.�........, -. _..
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)