HomeMy WebLinkAboutHAZMAT INSP 4-25-2017BAKERSFIELD FIRE DEPT.
-'w Prevention Services
3 "FL D
H E R 8 F I
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UNIFIED PROGRAM INSPECTION CHECICLISTI." ...... ...... FIR -E.. H Street
a ARTM r
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661),,852-2171
INSPECTION DATI u INSPECTION TIME
12
04 _51
PHONE,1\10.j' `1 S NO OF EMPLOYEES
�T. A Y, - 1 7
""--'' BUS TNESS ID NUMBER
LA 2A 6
FACILITY NAME
ADDRESS
FACILITY CONTACT
C' 0
Consent to Inspect Name/Title
X.:
xxx
❑ SAFETY DATA SHEET AVAILABILITY (CCR
ROUTINE ❑ COMBINED El JOINT AGENCY ❑
MULTI-AGENCY ❑ COMPLAINT 1771 RE-INSPECTION
C V u=uompwance OPERATION
❑ SAFETY DATA SHEET AVAILABILITY (CCR
COMMENTS
V=Violation
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ VISIBLE ADDRESS (C FC: 505. 1, B IV
C: 15.52.020)
(c))
❑ APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
(CCR: 2731)
El- ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S
25404(e)
CFC: 5003.5)
'19i" F-1 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
(CFC: 304.1)
� Egf ❑ FIRE PROTECTION (CF
: 903 & 906)
❑ VERIFICATION OF INVENTORY MATERIALS
CCR: 2729.3)
R: 2729.2 (3))
❑ VERIFICATION OF QUANTITIES
CCR: 2729.4)
E z ❑ VERIFICATION OF LOCATION (CCR:
2729.2)
NEf ❑ PROPER SEGREGATION OF MATERIAL jCFC:
5004.1)
ANY HAZARDOUS WASTE ON SITE? AYES ❑ NO
Explain: , 12 ., ,
WA ql Ohoi dklft "1 N Ul- \gm 11,
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
A
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return- a copy of this
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
t�' N C _\
il Xr
Signature (that all violations have been corrected as noted)
iage to:
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑ SAFETY DATA SHEET AVAILABILITY (CCR
2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES ("CR:2731
(c))
❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
)9' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);
CFC: 5003.5)
❑ HOUSEKEEPING
(CFC: 304.1)
� Egf ❑ FIRE PROTECTION (CF
: 903 & 906)
Of ❑ SITE DIAGRAM ADEQUATE & ON HAND (C
R: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? AYES ❑ NO
Explain: , 12 ., ,
WA ql Ohoi dklft "1 N Ul- \gm 11,
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
A
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return- a copy of this
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
t�' N C _\
il Xr
Signature (that all violations have been corrected as noted)
iage to:
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)