HomeMy WebLinkAboutHAZMAT INSP 6/10/20164. cr:
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BAKERSFIELD FIRE DEPT.
Prevention Services
Ig E R s T I. D 2101 H Street
UNIFIED, PROGRAM INSPECTION CHECKLIST PINE Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Insaection
F ILITY NA
�606 AQ
fr., etl P i f J(e'
INSP C ION ATE
11 H&
INSPECTION TIME
o
AD s SS
0A
AP P ROPRI ATE PERMIT ON HAND ( BMC:15.65.080 )
P ON3E NO'
o364""
NO OF EMPLOYEES
FML'I Y CON T
R IV e rs
16-)WI, e-
BUSINESS ,IDNUMBER
onsent to Inspect Nfame/Title
, _v >.
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�6 ,� .,, � //��►►.: � ..n >n1.. Bus�.�ess. Planandutn�Yento . .Pro ram. ,,�,�>>,,N �;_,�,,�.. , ,: ,: � .�:
9
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = omp lance
OPERATION
V =violation; 1,11 Minor
CERS
Violation
COMMENT
AP P ROPRI ATE 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)
)e
FIRE PROTECTION (CFC: 903 & 906)
3030032
017
SITE DIAGRAM ADEQUATE.& ON HAND (CCR: 2729.2)
1010005
NY AZARD US W TOE -ON SITE? .AYES ❑ NO
WOS
i nat Cre oil WeR t
e
Explain: V .
f
Inspector: a� r
"POST INSPECTION INSTRUCTIONS: s
• 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, (tha tall violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301) s" /
Date` a
White — Business Copy Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 8//14)
FQ,CILITY NAME -
K�,lbkbien
p
INSPE NTIONOATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
F
AD REfSS & q$ `
PP-10N,E NO'
y M
NO OF EMPLOYEES
r �.:N F+
S � k44n'�'i
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F ILITY CO TACT
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BUSINESS ID NUMBER
`
Consent to Inspect Name/Title
CORRECT OCCUPANCY (CBC:401)
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ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION
V =Violation; 1,11 Minor
CERS
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)
x
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
'
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR: 2729.2)
a
PROPER SEGREGATION OF MATERIAL (CFC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
N
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
NY
1pjlelC)
AZARDO'US WASTES ON SITE? ZI,YES ❑ NO
Shwa&re ofRee'e%
t
Explain."%
Inspector:
POST INSPECTION INSTRUCTIONS: ti i s
• 'Correct the violation(s) noted above by f M� .l ° . x • w ? .:
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signa e (thaVA violations have been corrected as noted)
>Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 �! " ) r
Date r.
White - Business Copy Yellow - Station Copy Pink -- Prevention Services FD2155 (Rev 8 / /14)