HomeMy WebLinkAboutHAZMAT INSP 3/26/2015A
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous, Materials Business Plan
.-Inknection
BAKERSFIELD FIRE DEPT.
FACILITY AME'�
T.")
INSPECTION DATE,--
INSPECTION TIME
ADDRESS
UN �_t_)
PHONE NO.
NO OF EMPLOYEES
v t
FACILITY CONTACT
BUSINESS ID NUMBER
c
Consent to Inspect, Ndme/Title
D
1._-;Z1,ROUTINE ❑ COMBINED ❑ 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
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)
1
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
X
ti
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)
/X11
FIRE PROTECTION"` (CFC: 903 & 906)
3030032
N
k�_
A,
SITE DIAGRAM ADEQUATE & ON HAND':` (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES "'-
Signature of Receip
Explain'
Inspector:
POST INSPECTION 'INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sip 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)