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HomeMy WebLinkAboutHAZMAT INSP 6/4/2015UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Inspection ....... .._R...._5.....F...._!........D FIRE �tRTM T BAKERSFIELD FIRE DEPT. Prevention Services 2101 H Street Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSP6CTION DAT INSPECTION TIME ADDRESS ` � _ vim' �"i "�� �r PHONE NO. NO OF EMPLOYEES FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name/Title s;:�, � r ,�...:�rcL6 ,. , r. -<' .: «, :•�., r a .;<, . ,.'.. -� '.;.. ,. v �,. a ;3 : Via:, .,, .., .i.- {'. un.�.:a. ,. ... #'. i ... F f'^' 's.. a ..... tv .ui. Q n'; *}'�".. ",.v'`•r .,« ['x'`,a . Z;....,. :....,.4,ais'ia,..:.,ic3.rM�zt, <4... -f� 4> ., ,yU'#...a2 }r+ x.atr r,e ..,>^ ,.. .u•>n , a.s ..s,.., .. ,r ,.,„q.. ,.a 3 .;3:> ^>.. .:Sr. ^i.: Rb ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Compliance OPERATION V =Violation; 1,11 Minor CERS Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) w 1010001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 101' 008 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 J G3`^ � 'Z' V- 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 Signature ofRecei 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: 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 81/14)