HomeMy WebLinkAboutHAZMAT INSP 5/10/2017� "7^.T'.�y .:,, �r� ''','.F; �`" ..,r. _ . ..... .. . .... .,.,.,r,_ .....f.^�... ^.- � n... 4„t"4�:t2x' -•a _ -
UNIFIED PROGRAM INSPECTION CHECKL ST
SECTION 1: Hazardous Materials' Business
Inar antinn
BAMRSFIELD :FIRE DEPT.
a
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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Violation
COMMENT
ADDRESS
NO.
O OF EMPLOYEES
�1t«^, AW
%yPHONE
:15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Kn.....3' / 4T 9N' V'J I.W ,j
BUSINESS PLAN CONTACT INFORMATION ACCURATE (03R:
2729.1)
onsent to- Inspect Name/Title i
f,.
K
ROUTINE ❑ JCOMBINED ❑ JOINTAGENCY E
I MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
CERS
V= Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
3010001
�.
BUSINESS PLAN CONTACT INFORMATION ACCURATE (03R:
2729.1)
1010008
f,.
VISIBLE ADDRESS (CFC: 505.1, BM
:15.52.020)
.'
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
s .
E
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 I
CCR: 2732)
1020002
X
VERIFICATION OF ABATEMENT r SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
"y
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, QFC:
2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CF G:
903 & 906)
3030032
+��
r
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? AYES 0—NO
i tore of Receii
Explain:
dVMlrtt" / .A t i.. f „+ ¢ d' •✓_P r`r / ,^` rw,,. `�,'K „♦
+y32 .. -.'
�.� A .V tw.,r i P .i• -Y 110 ~� ...
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 this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 9330
White - Business Copy Yellow — Station Copy Pink 7 Prevention Services
Signature (that all lations have been corrected as noted)
F4;qT w
Date
FD2155 (Rev 8//14)