HomeMy WebLinkAboutHAZMAT INS 4/2017•i k :S wr:L Aryl, ,x r.,r: , ^Y , r•rt", tl.. ,:..:; - s... 7n.^ ;. k e .
a BAKERSFIELD FIRE DEPT
4 ,e Prevention Services a
B4E R s F r D. 12101 H Street
FIRS j
UNIFIED PROGRAM INSPECTION CHECKLIST �il`TI Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1 Hazardous Materials Business Plan ;F (661) 852 -2171
InsnP_& nn v f (f,V
FACILITY NAME
_
-
INSPECTION DATE
INSPECTION TIME
1 -. ,�sr ,?v. d' .
��
�r ✓. .:,.: �: . v,:- •S,
= 1 ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
r
v
ADDRESS ,^
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
PHONE'NO 1
NO OF EMPLOYEES
-A
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
BUSINESS Ib NUMBER {
r
onsent to Inspect.Name/Title ,
ppL
CORRECT OCCUPANCY (CBC: 401)
r .
ss.. .4`. �y2�.. *•- .. H ,. ..� x:. r ..'" � .. 3u , '::, .... .^ v :Yn '.<. }: ! \
�.
.)dl '.� ,U. t' y_..<�' Y 1 6
.. .� ,. ..., >'
.. .. 7 �,. -3v. i� n. •.. e:. >,_. v. .'L. ....� "(.: ,.x -, .. ! .(. ,.: ,.o -. ,. ......... aP�.... ... ... .. ,. 1
vr�, ,.v. _.. ._.. S
,y,.. P.,?'.+3 .. ., ? ... r R, h?.`3: ,,., ; m . -w ,,, r • ... > ... • . .. ..... .. . .... i . j , . ", ♦
:;... ;.y -. b.b"��j, g > F ':i, ?% U ..:'u - R ,,.. s.,,.< .. - "a ^.. 'i �. • : .. , ^- .. '..
iv t '»,. 'r, hN» u, », .- ..: . V > .. .. -. ?.. a.,.
Plan I:nento P.ro ram..
v. -. :r?::.,. r .i,. Es .✓. ..
`�.. E F.. -.a
h . Y _ 4r Y••>
^,.:': P 7 i � -5 bE'u,
, . ✓ 1.
r .. .'•«' ..... .. ..
t ,. p, Y ::+5 f. ... „.. :..., .: .. ,....,f. ,. . $
r,+s. _and
J. 1 kid 'yy.E� '%� .Y �.. � �'. �' ~J d. '"m {. n'rt 'w� .. M...'. �b .M....,
,p`,`,:g/''p+.n �`*. w: :. -.3 ��.r, -., tYb v4,.,, �. i-:x,i., .s$Sax^.,X�'}s ,Y ;, r. _.., >l,', ..•.e..r;f',. , ,,. .. .f',..i,�, l:+ .*.� .,'r';:.,
1 -. ,�sr ,?v. d' .
��
�r ✓. .:,.: �: . v,:- •S,
= 1 ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT
❑ RE- INSPECTION
C V= omp lance OPERATION
C E R S
Miotation; 1,11 Minor
Violation
; COMMENT
#
;
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
r
CORRECT OCCUPANCY (CBC: 401)
.
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
1010004
v°
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010006
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
*,r
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
i
FIRE PROTECTION (CFC: 903 & 906)
3030832
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
,
ANY HAZARDOUS WASTE ON SITE? 1 YES ❑ NO
yM
Sianatur&URecei t
r
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS: j
Correct the violation(s) noted above by
Within 5 days of correcting 4of, 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 8//14)