HomeMy WebLinkAboutHAZMAT INSP 8/6/2015ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT RE- INSPECTION
C V omp lance OPERATION
C E R S
BAKERSFIELD FIRE DEPT.
V= Violation; 1,11 Minor
Prevention Servi�!
Violation
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2101 H e t j
UNIFIED PROGRAM INSPECTION CHECKLIST
AR r Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: - Hazardous Materials Business Plan
Fax: (661) 52 -2171
Ins ction
f
APPROPRIATE PERMIT
.FACILITY NAME
3010001
INSPECTION DATE
INSPECTION TIME
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
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y
ADDRESS
%� �3t' .ems .. e`.r+..%%..;�t't i,_�- � �'_.:rv�� - �; �: •_ � ��. � �,' ��
PHONE NO.
1-.3 E '
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NO OF EMPLOYEES
'
FACILITY CONTACT
CORRECT OCCUPANCY
BUSINESS ID NUMBER
0,
Consent to Inspect Name /Title
j
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT RE- INSPECTION
C V omp lance OPERATION
C E R S
V= Violation; 1,11 Minor
Violation
#
_ COMMENT
f 4 P t; F to: �laUr i• r:ir� .�U f
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t ° ) 1. % :i w t ( 'I::— 14451 . � j er' ' � % /iE
APPROPRIATE PERMIT
ON HAND (BMC: 15.65.080)
3010001
r„p,� <u,i�v'.r 3 qz'.? _ C�fz 5-
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
,
'VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
j
CORRECT OCCUPANCY
(CBC: 401)
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
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VERIFICATION OF.QUANiI]TIES (CCR: 2729.4)
1010006
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D � 1 yR5 C r !. I �,P e •r" t�€..f L C/ �' ...... .fit {�,.% Q
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFO: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)}
5r r,
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
1020002
/ p
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1010010'
,h r
!
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
i.
FIRE PROTECTION
(CFC: 903 & 906)
L 7�:�� s r ;. ..f;Y -arc
3030032
„
SITE DIAGRAM ADEQUATE
& ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE?
❑ YES ® NO
i nature dfReceipt
Explain:
Inspector: s � .. " �b +-� �¢"y'> -
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, 2.101 H Street, California 93301
Date
White - Business Copy; Yellow - Station Copy Pink — Prevention Services FD2155 (Rev 8//14)