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HomeMy WebLinkAboutHAZMAT INSP 1/22/2015UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan In m- n-tinn BAKERSFIELD FIRE DEPT. Prevention Services $........ ..... I✓...:_R..... S.....F.....I L D 2101 H Street FIRE jr Rr M Bakersfield, CA 93301 A T Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 4� a ; INSPECTION DATE INSPECTION TIME " . I 17-Z ADDRESS j, _... t ,�. a PHONE NOS x NO OF EMPLOYEES y � it r �✓ FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect ame /T,itle * Fes'• � e �+ ... �r +:""a...y� t lM1R �y�\ � �� µ p w f�' � ��� ✓�+^" �, }ks ..5, � @ a.,,,f' �y � " *.- ,...,,r<.. Yd4 «.� 'M'w.,...r..� 1 """'" ✓� kt `c.,,,,,,rr "`ae.�� a* ,.. ... -., ...... +r>?.. ..¢,• -r,wer ., a'as ;. w,;:. �:Y x,.:f -i " x .w1 5 : ,s •,F :\. .:, . IN .v ? 1 fi« a ia - +>'. f w-,.o-.':, e . . .-. . ., ..,5. 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R "s� r. � :.oc,. ,,, re.....na .,a,... �,❑°�ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Gompliance OPERATION CERS V= Violation; 1,11 Minor 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) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 t VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) f " 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 Oignature ofRecei t Explain: 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 White - Business Copy Yellow - Station Copy Pink - Prevention Services Signature (that all violations have been corrected as noted) Date FD2155 (Rev 8//14)