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HomeMy WebLinkAboutHAZMAT INSP 1/19/2017UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Insnection BAKERSFIELD FIRE DEPT. ---- Prevention Services 2101 H Street *'FIRM Bakersfield, CA 93301 ARM Ir Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME CERS INSPECTION DATE INSPECTION TIME �-kp �� �0 i- -ICIA - \i ADDRESS PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 Consent to Inspect Name/Title IF ACA Lii� S VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020) r: z t r rs ENV !^ 'YS re �:�: £ ,, -.. ., >.. ,,. : .� t:- .:... ,: <, .... 5. :�� �<Y ... t• 2 ec. g 'k'S n. Y. .:vF: 5..' "ue. Hs'�t_ yRC,,., .f t st ......- .S A., -. e..,:;i •. : ... ,. :.. ..... K ,. vY 'Of tiu � t �t�i� .>r Section ,1.. {�Bus�ness P:1an, and. Ilnvento f ..:. o x..en .,, N'., , v.,;,.. .,.:, ,. i,:� «.,..r', ..�. .�. v. .¢ :.:.:e :k. S. <a: r .e.. ,, ,;: ,4,S1 :.i., V 'k „f,., : h lK.G .Y o: �:.'i <,r•....3.Y.:. f�vFrcF, d <A"�..h ::1.. ❑ ROUTINE % COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V G=Compliance 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 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) V 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) U o'JS�'E0 C�s�S'r FIRE PROTECTION (CFC: 903 & 906) 3030032 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO gignature ofRecei t e.lo S—'_'�) Explain: .uG i a A) S c t C. C EIS N36'T AC-C.EIP't � Inspector: S 11 /A A� 1✓ 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)