HomeMy WebLinkAboutHAZMAT INSP 6/10/2015BAKERSFIELD FIRE DEPT.
r: Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST A ..-... 2101 H Street
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IRE
RTM f B akersfield, CA 93301
Haz -Mat Business Plan and Inventory Program I Tel.: (661) 326 -3979
ax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
� s
BUSINESS ID NUMBER
FACILITY CONTACT ,2
sent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT RE- INSPECTION
C
V
( C= Compliance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
D
0
E
El
i]
❑
❑
❑
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
BUSINESS PLAN CONTACT INFORMATION ACCURATE
VERIFICATION OF INVENTORY MATERIALS
VERIFICATION OF QUANTITIES
VERIFICATION OF LOCATION
(H &S 25404(e)
(CCR: 2729.1)
(CCR: 2729.3)
(CCR: 2729.4)
(CCR: 2729.2)
n
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
91
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
®
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
n
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
0
❑
FIRE PROTECTION
(CFC: 903 & 906)
El
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
i nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: {
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signat & -, flat all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)