HomeMy WebLinkAboutHAZMAT INSP 3/30/2015BAKERSFIELD FIRE DEPT,
Prevention Services
- $.:. ...R..� .... . D 2101 H Street
"[E Bakersfield; CA 93301
UNIFIED `PROGRAM INSPECTION CHECKLIST ® a�rrM
Tel.: . (661) 326 -3979:
Fax: (661) 852 -2171
SECTION 1: Hazardous `Materials Business Plan
Inspection -
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES ,
�/
L..JC.�I '7 a�
{,�,�'.•,.
FACILITY' CONTACT _
BUSINESS ID NUMBER
" l
Consent to Inspect Name./Title
;,sue rX f } h r y. 5
`h �y 5 A,
: ✓Y$ � } 9 b Y xx s k "- ..l iw,:..,. Y .5 3 a s:. H �.F C '4,4 xK» ti!...1>h r,i..
Yea ... e.::, kY rr .., i.>':+ x. o.. .:.• .:'.' , ., ,,.,
.. ...Y .....,. ,;' .,
a❑ ROUTINE; ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT .. ❑ RE- INSPECTION
i> 5 ).
omp lance
C V - OPERATION
CERS
V= Violation;1,II Minor
Violation
COMMENT
-
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008,
i
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
Eras.. 7 rC� 4.� s�` % ! i�� •! * r'= L _�!
_ c
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))
j
�.
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 Z NO
Signature. ofRecei t ,.. •�' '
Explain`
Inspector: -",•, , {2 `
POST INSPECTIOIN 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)