HomeMy WebLinkAboutHAZMAT INSP 3/27/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION ` 1 Hazardous Materials Business Plan
Ins Ction
FACILITY NAME <" ,
ADDRESS
<,::3
FACILITY CONTACT
Consent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
Prevention Services
$..:_ �R s: : .. D .... 2101 H Street
FIRE
,� rM s Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 - 2171
INSPECTION. DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
❑` ROUTINE ❑ COMBINED.. 0 JOINT AGENCY L
MULTI - AGENCY U COMPLAIN I u Kt- INSrtu I MIN
,
C V = omp lance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
V
APPROPRIATE PERMIT ON HAND (BM
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (
CR: 2729.1)
101000$
VISIBLE ADDRESS (CFC: 505.1, BM
: 15.52.020)
V f i
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (
CR: 2729.3)
1010004
VERIFICATION OF QUANTITIES (
CR: 2729.4)
1010006
VERIFICATION OF LOCATION (
CR: 2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
hr,
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
i
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES ( (.CR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
V o
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703.5)
3030007
e'
HOUSEKEEPING
(CFC: 304.1)
+'.
FIRE PROTECTION (C F
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND i
CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 179 YES ❑ NO
Signature ofRecei t
Explain:
Inspector:
r,
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: Signatures t ataIl violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933@1
mss` a..'
Date
White — Business Copy Yellow — Station Copy Pink
Prevention Services FD2155 (Rev 8//14)