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HomeMy WebLinkAboutHAZMAT INSP 3/17/2016i v 3 UNIFIED, PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous :Materials Business Plan Inspection FACILITY NAME BAKERSFIELD FIRE DEPT. INSPECTION TIME Prevention Services B....... ..... 2101 H Street FIRE. r aRTIlt Bakersfield, CA 93301 ,..,b 4.. Tel.: (661) 326 -3979 {-- Fax: (661) 852 -2171 FACILITY NAME DATE INSPECTION TIME 14,. =` L' �j 1 —' y- ,..,....:~e �, 9 ,,:.3 px,a.• '�:,f 3� % ±, >.....• '...ii •�q �..,, ""`"` ., !t '+"' ,..,b 4.. ADDRESS q PHONE NO. NO OF EMPLOYEES _. FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title ,.y�.,� �. �. a,s, Ga..,,.>.>. _. .,rr• ..., a. ... X'bn. �za„'A ,a fir. c. i ., .Y.,.... 3 s .. ,r,. �. `� „r. ,&ai. . a4's ..E. 2. �. � 't. � .%.e, er X,b�s%f, { .< iY. � .x .»,. `r ✓nw,.x`k. .. e. . .x ;. . .. .%.:aa k ,.. >.,3.7.<h „:. ._ .0 � ... sE .. . aa� T r 3' �.... 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'�<., .. ,. .Y. .. c.?w:.� .s. a,. �l v. i ..� c .x ,..¢` ,. ...� �.a a.m, . ... r.... n�. ,. � ,.. �r :,.. , . ... ,.:. #, �5„ � : c , ., �'.. , .\ ' ,,... _, ?. .. `..�i vw.. � A .r i .vw:. x. �. e ..X... t3 ...Lnl,. >F,-. !:.,x. W.ax$'a..,¢e. K. ,_. .rs �, s K.. .:X.,. a},>2 �'...�x�'.,._.. 5 „]}•'.n��..va .Y..,�:.t.a.,. „.12..,...x. #' ir.tre a^ .a..., °u r,r R,:, F.: r.x.ra, ,.. ±rr ,Y' a..d .e... ft ar"..aa., ..:3d: r...., m,�.... a .r , "Y m'!i ✓d2,.�Rw?,,:. ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance 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) 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? ❑ YES _D,,,NO 8ielfl atnreofRecei t 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 8//14) SECTION 1: Hazardous Materials Business Plan Inspection BAKERSFIELD FIRE DEPT. Prevention Services .... _... ' ..... ........ R....a...:_F..._�._ ...._D 2101 H Street AR M r Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTIO DATE INSPECTION7IME �A 'eJ� Y,y. �'C,,,. ! �4— 4 k:v � t... � "yaf 't 4.,'•a ...d`� 8 y�� . k. j� +�•,�r"2 � f 9. .r'Y... 1 4 d ' � � � i ADDRESS r f PHONE No. t NO OF EMPLOYEES (r FACILITY CONTACT } BUSINESS ID NU4BER 4 Consent to Inspect Name /Title ,..01 kk d �., $x. `'u a~u, ,xy..i� a, ,,,, H x,, L � xt E.. :tip L S ,. ✓k. u , ss i > .v,.,x x...♦ vea k , � k w s <'6:.: :. px< 2 . C, a ., .. «ia.ev. \.., ESey} ,�:.- <>%�.� $ 5 ?`iy�f`.1 a, e ,.'k., n. , . ,. b .:a ,.,.. ., ,. .,.... E o. e,a: a .:.. ,. ' :, , ,. < < k ,.. b 4 .� i �'s.•.. k.i : `a� 5, � , „ i ,k,e r 4 .. � 3 ,..... Se� � , ■ u. yi�y::�:�. 1y1�� y�.ss «. � :. ,. :.e , 1 C. ..v m , Y...e... F. 5..a � S £,^ - �. snY�;:F F, :, r .�w.e,. ...• c. `1! n2 .,.. ^a' 3 .. ..<.x +i. ..,..,... . � , � �I. 'iFrY ... .fu ��!E.��.. i��;,y}�i' � .'Sa P. > , a` .. ,. 5:. � � `„ T ke.,x. ,,.,,.« ..,,.,,r, ,.c.:. ..., !'w ,ifs:.... w, , . '.i...,..x <,.. < «:,.n... .$v, , ::,.:. <s, e'. ti. ....,..,.a -,' , e.* „ «.:....,. ._.,.,4.�._, n'><.eXa:. >axik r, �,. a3%.. x'+, �4 ! ✓r`� 5 �. '`46'' 4a'".�'S'`;' �' E Y� ROUTINE ❑ COMBINED ` ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V = ompiance OPERATION CERS V =Violation; 1,11 Minor Violation COMMENT. t 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 ry VERIFICATION OF QUANTITIES. (CCR: 2729.4) 1010006 ,r VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) ,w 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? 0 YES ❑ NO Signature ofRecei t Explain: Inspector•.��;r 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 Signature (that all violations have been corrected as noted) Date White —Business Copy Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8H14)