HomeMy WebLinkAboutHAZMAT INSP 5/4/2017vv.
BAKERSFIELD FIRE DEPT.
i
Prevention. Sernces
B4E. R 8 F< I r, 2,101 H Street
UNIFIED PROGRAM INSPECTION CHECKLIST Bakersfield, CA 93301
A ft.. r, 1#41
Tel.: (661) 326-3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852-2171
Ins !on
FACILITY NAME
U'D A
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BMG
15.65.080)
ADDRESS
PHONE NO. &I
NO OF EMPLOYEES
qq
I C -T LJ
R: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
L
CZC; e-4,S
Consent to Inspect Name/Title
LL
(CBC: 401)
0
ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C= Compliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMG
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC:
15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (C
Op R: 2729.4)
1010006
VERIFICATION OF LOCATION (C
R: 2729.2)
PROPER SEGREGATION OF MATERIAL (C
C: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (QCR:
2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CGR:2731(c))
EMERGENCY PROCEDURES ADEQUATE
CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC:
2703.5)
3030007
. ..........
HOUSEKEEPING (OFC:
304.1)
FIRE PROTECTION (CFC:
903 & 906)
30d0032
0
SITE DIAGRAM ADEQUATE & ON HAND (C
OR: 2729.2)
1010005—
ANY HAZARDOUS WASTE ON SITE? ❑ YES VIVO
Signature of Receipt
Explain: X,; E a zz �-f �J
POST INSPECTION INSTRUCTIONS:
• Correct the vjfolation(s) noted above .!by '5
• Within.5 d" ys of correcting all of the violations, sign and return a copy of this page to: Signature (that
yall viol4tions have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date
White — Business Copy ' Yellow — Station Copy Pink evention Services FD2155 (Rev 8H14)