HomeMy WebLinkAboutHAZMAT INSP 3/27/2017SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
(v/%
ADDRESS
Y,-
FACILITY CONTACT
6sent to Inspect Name/Title
17 V
110PAKERSFIELD FIRE DEPT.
Prevention Services
3. . . E. .... R. ....S.. F ..1. L. D 2101 H S treet
FIRE -
R TANF T Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE, INSPECTION TIME
—1 7:11
PHONE NO. NO OF EMPLOYEE
IBUSINESS ID NUMBER
1 7
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY El MULTI-AGENCY ❑ COMPLAINT 1771 RE-INSPECTION
V C=Gompliance OPERATION CERS
V=Violation; " 1,11 Minor Violation COMMENT
3010001
XAPPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
BUSINESS PLAN CONTACT INFORMATION ACCURATE (G CR: 2729.1)
q 1010008
VISIBLE ADDRESS (CFC: 505.1, BIVC: 15.52.020)
CORRECT OCCUPANCY (CBC: 401)
Explain:
Inspector: i e ( 4)
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of thi, page to: Sig"n"ature, (that all violations have been correctedj_,4S-notCdY
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330 1
Date
White Business Copy Yellow — Station Copy Pink I Prevention Services FD2155 (Rev 8H14)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES iCCR:
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)
10200012
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)
FIRE PROTECTION (CFC:
903 & 906)
3030032
-T
Z
SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ONO
$ignature of-R-eceipt
Explain:
Inspector: i e ( 4)
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of thi, page to: Sig"n"ature, (that all violations have been correctedj_,4S-notCdY
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330 1
Date
White Business Copy Yellow — Station Copy Pink I Prevention Services FD2155 (Rev 8H14)