HomeMy WebLinkAboutHAZMAT INSP 1/21/2015SECTION 1: Hazardous Materials Business Plan
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FACILITY NAME ell
INSPECTION DATE
INSPECTION TIME
ADDRESS s
PHONE NO
NO OF EMPLOYEES
f
BUSINESS ID NUMBER
FACILITY CONTACT r I
k
Consent to Inspect Nam6/Title
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v C=G amp llance OPERATION
C E R S
V=Violation; 1,11 Minor
Violation
COMMENT
Pl
APPROPRIATE PERMIT ON HAND (BMC: 1 .65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
V.
VISIBLE ADDRESS (CFC: 505.1", BMC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS {CCR: 2729.3)
1,01 0004
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703-5)
1
3030007
7 1
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 ET NO
I %nature of Receivt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• 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: Signature (that all violations have been 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 8H14)
SECTION 1: Hazardous Materials Business Plan
BAKERSFIELD FIRE DEPT.
Prevention Services
E R S F I L D
...... .....................
2101 H Street
FIRE
jr y Bakersfield, CA 93301
Services
......
rN
FACILITY NAME A
INSPECTION DATE
INSPECTION TIME
ADDRESS
P ONE NO.
NO OF EMPLOYEES
-7
BUSINESS ID NUMBER
FACILITY
CONTACT
ve L,
Consent to Inspect Name/Title
HIM ;,01 iiugm a
10 a "'g
a 14 So
d' ml
W,
ROUTINE ❑ 'COMBINED 1771 JOINT AGENCY
❑ MULTI-AGENCY ❑ COMPLAINT ❑ 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
N
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
V,
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
1010004
I V,
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
1010006
%.;
VERIFICATION OF LOCATION
(CCR: 2729.2)
I
PROPER SEGREGATION OF MATERIAL
(CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY
(CCR: 2729.2(3)(b))
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
HOUSEKEEPING
(CFC: 304.1)
'
FIRE PROTECTION
(CFC: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 'D YES ❑
NO
Oignature of Receilpt
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
• 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 — Station Copy Pink — Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8H14)