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HomeMy WebLinkAboutHAZMAT INSP 4/2017UNIFIED PROGRAM INSPECTION CHECKLIST .................... ..... ..... SECTION 1: Hazardous Materials Business Plan I �A BAKERSFIELD FIRE DEPT. Prevention Services - F R S F I D .. I ..... .................................... . 2101 H Street FIRE. ARTM T Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852-2171 FACILITY NAME INSPECTION DATE INSPECTION TIME %7 ADDRESS PHONE NO. I NO OF EMPLOYEES 64 BUSINESS ID NUMBER FACILITY CONTACT —7 4' 14- Consent to Inspect Name/Title` P.0 1114 01 NIXON., IN MINN. 5112 IE E 0 IN A .......... ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ RE-INSPECTION C v C=Compliance OPERATION C E R S V=Violation; 1,11 Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010.001 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1). 1010008 VISIBLE ADDRESS (CFC: 505.1 BMC: 15.5 2.020) CORRECT OCCUPANCY (CBC: 401) VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) 1010004 VERIFICATION OF QUANTITIES (CCR: 2729.4) 1010006 V VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (OCR: 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) t�x FIRE PROTECTION (CFC: 903 & 906) 3030032 A�q SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 F "'__ ANY HAZARDOUS WASTE ON SITE? M',YES ❑ NO Sig natureofRecei p J: Explain: Inspector: Y-F POST INSPECTION INSTRUCTIONS: 40 Correct the violation(s) noted above by 74 • 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 804)