HomeMy WebLinkAboutHAZMAT INSP 6/10/2016UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Insoection
FACILITY NAME V
iF
BAKERSFIELD FIRE DEPT.
INSPECTION TIME
Prevention Services
B.-I E R - S -.1.1
2101 H Street
FIRE
Aifirk ff
Bakersfield, CA 93301
02(10to(�(
Tel.: (661) 326-3979
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
Fax: (661) 852-2171
FACILITY NAME V
iF
INSPECTION DATE
D
INSPECTION TIME
ADDRESS
PHONE NO. 6640
NO OF EMPLOYEES
FACILITY CONTACT
U �J M A tJ C&I 1i Tow E(?-
BUSINESS ID NUMBER
02(10to(�(
Consent to Inspect Name/Title U �J M A �j kQ EAD
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
I 0,40UTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY 17-1 COMPLAINT ❑ RE-INSPECTION I
C V C=Gompliance 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)
j\j 0 5 16 S
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 (OCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
/o"
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.340, 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 ❑ NO
Signature of Receipt
Explain:
4
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)
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
Inspection
BAKERSFIELD FIRE DEPT.
'0'- .
Prevention Service s
3
B E 9 S F I D
E R L
.......... . ........... I .................................. ...........
2101 H�Street
"FIRE
I)r
Aft rX T
t
Bakersfield, CA 93301
FACILITY CONTACT
Tel.: (661),326-3979
Consent to Inspect Name/Title
J
Fax: (661) 852-2171
M
. . . . . . . . . . . . . . . . ....... . . . . . . . . . . . . .
14OUTINE 1:1 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY 171 COMPLAINT 171 RE-INSPECTION
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
7'
ADDRESS
PHONE NC.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
'�Z
Consent to Inspect Name/Title
J
M
. . . . . . . . . . . . . . . . ....... . . . . . . . . . . . . .
14OUTINE 1:1 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY 171 COMPLAINT 171 RE-INSPECTION
V G= 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)
1.j
CORRE-GT� 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: 2729.21(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 ❑ NO
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
White — Business Copy Yellow — Station Copy Pink — Prevention Services
E�A V1V1-1- AA- U - II-)
Date
FD2155 (Rev 8H14)