HomeMy WebLinkAboutHAZMAT INSP 4/8/2016UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
IMAMAA�AM
afto BAKERSFIELD FIRE DEPT.
Prevention Services
21.01 H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
Inspector• s �`^- ---
POST IN EC ON INSTRUCTIONS:
• Correc e 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 8H14)
INSPECTION DATE INSPECTION TIME
FACkffsy NAME 4
i A I !�— -� U� , i
44 ` ? --- no I i C r,;
PHONE NO. (o O NO OF EMPLOYEES
ADDRESS
32/0 -y31 -L4 �ja w'j-) eo
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
�.. . its
.5,.. II.
P eCe: Y ;: .: d :.. �.: � .:> „ . :E,'' :': , .. ..�,g +•;.s 3 'S o avuywa :' � P� 4�a`)�i ',' `k
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.,.�.�. �..JOINT ❑ ❑ RE- INSPECTION
❑...COMBINED ❑ AGENC Y ❑ MULTI - AGENCY COMPLAINT
UT�tNE
_RS
= omp lance
C V OPERATION
C E
violation
COMMENT
V= Violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
O
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
VERIFICATION OF LOCATION (CCR: 2729.2)
/
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
,r
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
P
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
/F
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 0 NO
Nignature ofRecei t
Explain:
Inspector• s �`^- ---
POST IN EC ON INSTRUCTIONS:
• Correc e 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 8H14)
BAKERSFIELD FIRE DEPT.
aRTMPrevention Services
2101 H Street
jr Bakersfield, CA 93301
TA1 • f4rll T)A_'10'70
FACj,ffTY NAME
INSPECTION DATE
INSPECTION TIME
M
'wr'+ -. 3• vk
y ,
(BMC: 15.65.080)
ADDRESS _,.
PHONE NO
NO OF EMPLOYEES]
BUSINESS PLAN CONTACT INFORMATION
ACCURATE (CCR: 2729.1)
1010008
'
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
BUSINESS ID NUMBER
FACILITY CONTACT
CORRECT OCCUPANCY
(CBC: 401)
Consent to Inspect Name/Title
VERIFICATION OF INVENTORY
I
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance OPEFATION
V =Violation; I,I1 Minor
CERS
Violation
COMMENT
r�
APPROPRIATE PERMIT ON HAN
(BMC: 15.65.080)
3010001
r
BUSINESS PLAN CONTACT INFORMATION
ACCURATE (CCR: 2729.1)
1010008
'
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
f >
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY
I
MATERIALS (CCR: 2729.3)
1010004
rf
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
=VERIFICATION "OF LOCATION .'
..,,:,... ,. "> .. R.. ,n ..,, ,..x (CCR: 2729.2)
`
PROPER SEGREGATION OF MATERIAL
- (CFC: 2704.1)
r
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TR
INING (CCR: 2732)
1020002
VERIFICATION OF ABATEMENT
SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES A
EQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 ft CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
�9
FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & 014
HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE?
❑ YES 0 NO
Oignature ofRecei t
Explain:
Inspector: -.....
POST INSPECTION INSTRUCTIONS:
• Correct &e violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Couv llow — Station Copy Pink - Prevention Services FD2155 (Rev 8014)