HomeMy WebLinkAboutHAZMAT INSP 4/27/2017BAKERSFIELD FIRE DEPT.
Prevention Services
. .._ 2101 H Street
UNIFIED PROGRAM INSPECTION CHECK
IST, a fM T, Bakersfield, CA 93301
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan
Fax: (661) 852 - 2171^^
Ins ction
FACILITY NAME >�
INSPCTION- DATE
F
INSPECTION TIME
ADDRESS
PHONE NO..
NO OF EMPLOYEES
..
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
r
M
{
❑ ROUTINE ❑ COMBINED ❑' JOINT AGENCY
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V _C= Compliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS
CCR: 2729.3)
1010004
VERIFICATION OF QUANTITIES
CCR: 2729.4)
1010006
VERIFICATION OF LOCATION I
CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL i
CFC: 2704.1):
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
r
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002'
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (
CR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS'PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703:5)
3030007
4k"
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature ofRecei t
Explain:
Inspector•
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
3 page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933)l
Date
White - Business Copy Yellow— Station Copy Pink
Prevention Services FD2155 (Rev 804)