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)