HomeMy WebLinkAboutHAZMAT INSP (INCOMPLETE)-'s �K �3 V S /Ai -
0I BAKERSFIEL) FIRE DEPT.
Prevention Services
8... E. ..._R...._s...._F.....I._...._D 2101 H Street
JRFT M T
A RF " Bakersfield, CA 93301
Tel.: (6`bl) 326 -3979
Fax: (661) 852 -2171
UNIFIED PROGRAM INSPECTION CHECKLIST'
SECTION 1: Hazardous Materials Business Plan
Inanar 4inn
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
LuwL,' i 3
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
D t S
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINiE�S^S ID NUMBER
1010008
4/ —7
Consent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance 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 (CFO: 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 ❑ NO
i natureofRecei 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)
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-- �� ,- _ .. BAKERSFIE�D FIRE DEPT.
a4N r •
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION .1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
_s
ADDRESS _
FACILITY CONTACT
Donsent to Inspect Name /Title
Prevention Services
...... ..... .:...R...._s...._F.... ...... ........ D 2101 H Street
FIRE. Bakersfield, CA 93301
ARTM T
Tel.: (6K1) 326 -3979
Fax: (661) 852 -2171
ION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
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CI` ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V = ompiance QpERATION
V =violation; 1,11 Minor
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
CE_RS
Violation
COMMENT
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1010008
CORRECT_.00CUPANCY (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)
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
1020002
1010010
3030007
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
HAZARDOUS WASTE ON SITE? ❑ YES El NO
1010005
NY
i natureofReceipt
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:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Signature (that all violations have been corrected as noted)
Date
Wh;ta _ R„c;necc Conv Yellow — Station Copy Pink - Prevention Services FD2155 (Rev 8014)