HomeMy WebLinkAboutHAZMAT INSP (NO DATE)BAKERSFIELD FIRE DEPT.
Prevention Services
H r: R 17 1 D
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UNIFIED PROGRAM INSPECTION CHECKLIST E 2101 H Street
A T r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
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FACILITY NAME INSPECTIbN DATE INSPEdTION TIME CF_+�_
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. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
X
X
XX
d
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Cornpliance OPERATION
V=Violation
COMMENTS
Pn
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1:1
ADDRESS
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
PHONE NO.
NO OF EMPLOYEES
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
FACILITY CONTACT
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(OCR: 2729.1)
BUSINESS ID NUMBER :,f-7 7
E-1
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
Consent to Inspect Name /Title
❑
❑
VERIFICATION OF LOCATION
i
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...
X
X
XX
d
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Cornpliance OPERATION
V=Violation
COMMENTS
171
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1:1
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(OCR: 2729.1)
E-1
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFO: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731 (c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
1:1
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ❑ YES ❑
NO
Explain:
Signature of Receipt:
I I
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• 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 — Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)