HomeMy WebLinkAboutHAZMAT INSP 4-5-2017BAKERSFIELD FIRE DEPT.
rA� Prevention Services
T LUNIFIED PROGRAM INSPECTION CHECKLIST ` 2101 H Street
T
�eld CA 93301
Bakersfield,
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME - ( a `� INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT' u BUSINESS ID NUMBER
Consent to Inspect Name /Title t 1 x
1 p s f All
❑
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance) OPERATION
V =Violation
COMMENTS
❑ ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ ❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
' 0�_
❑ ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
r�
❑ ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ ❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ ❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
R `
❑ ❑
VERIFICATION OF LOCATION (CCR: 2729.2)
❑ ❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
�s.
`
❑ ❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
,
t
❑ ❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
'„
❑ ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ ❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ ❑
HOUSEKEEPING (CFC: 304.1)
❑ ❑
FIRE PROTECTION (CFC: 903 & 906)
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)