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HomeMy WebLinkAboutHAZMAT INSP 1/6/2017UNIFIED PROGRAM INSPECTION CHECKLIST SECTION 1: Hazardous Materials Business Plan Ir�er�rtinn BAKERSFIELD FIRE DEPT. Prevention Services $....:: ><...._R.__S...._F.....f.. D 2101 H Street FIRE RT M r AR TN Bakersfield, CA 93301 Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME 33 INSPECTION DATE INSPECTION TIME yy ( p fi4.. �i .� _. � � � ^` t ,t`,- ,..+^�f.•F y r...+n.`"•°� �l� � a'C' � A� �.,f°.J; 7 �' ..... 5�. }� ADDRESS PHONE NO. NO OF EMPLOYEES 1'r �d .rya wTy i+�.r ^�w,•i AP' ...Mw:� ¢y p�Y �.+' BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) 1010008 BUSINESS ID NUMBER FACILITY CONTACT VISIBLE ADDRESS (CFC: 505.1, BMC: 15:52.020) Consent to Inspect Name /Tittle Lx ... x•.. .. ,. a ',,,. >, y. �;' d f... e.. 5- �" .. ..,'r% ,<H >� a.. @ .,.. X. H ,.. •S . >,. a`.. e<�, ,y s..F ,. .x5 � t ¢�Y „',.: 5 hL. .Y'. ,,.. .6 ..3 ✓. L n ..,.. ., ;... <f ..._.... .. ., L^ s` �, ..S s '�a4 .. .. .s.. x., :.•wr ,:: � ..,. .. ,.... :%`.. ..>?.. ...�rW.<r .:,,.w b.- mow.,:. E... ,.. ,. ,<.c.. .`'. e r. ,.,a.^ ,.:« ..3 'q w� v „Y': /i.. '1 � � L ,/F' T3 „�: , a. ,v.o, s.a. .. .« Yd .f .. ,... 4 >Z... r ,.. . ✓.. ✓y< e ...:. "a ] F >, ir.. u n�'n;�. 3« /Y3 '.`v° ,�v,krvE,$'.':'a «ad.3...N.. 'S” ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION C V C=Qompflance OPERATION C E R S V =Violation; l,ll Minor Violation COMMENT APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) 3010001 i BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 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 (CCR: 2729.4) 1010006 VERIFICATION OF LOCATION (CCR: 2729.2) PROPER SEGREGATION OF MATERIAL (CFC: 2704.1) VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b)) �v9 3; i' VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002 VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731(c)) P�� {,a d EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) 1010010 CONTAINERS PROPERLY LABELED (CCR: 66262.34(f), CFC: 2703.5) 3030007 HOUSEKEEPING (CFC: 304.1) r }, FIRE PROTECTION (CFC: 903 & 906) 3030032 r SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005 y ANY HAZARDOUS WASTE ON SITE? ❑ YES NO i natureofRecei t Explain:-) g s r a 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 93301 White — Business Copy Yellow — Station Copy Pink — Prevention Services Signature (that all violations have been corrected as noted) Date FD2155 (Rev 8//14)