HomeMy WebLinkAboutHAZMAT INSP 4/2017aRFN BAKERSFIELD FIRE DEPT.
. Prevention Services
R FN UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
V. ..,
CA 93301
Bakersfield,
HaZ -Mat Business Plan and Inventory Program 'Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME; INSPECTION DATE INSPECTION TIME
4-ia-i-7
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
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)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
bp
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
rr
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
IN
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
1
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
T2
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
ly
❑
HOUSEKEEPING (CFC: 304.1)
IN
❑
FIRE PROTECTION (CFC: 903 & 906)
LEI
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? Z YES ❑ NO
Explain:
4y� oy ", Ol ; zok
Signature of Receipt
POST INSPECTION INSTRUCTIONS FOR RETURN- TO- COMPLIANCE: '1r
• 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)