HomeMy WebLinkAboutHAZMAT INSP 5-19-2017UNIFIED PROGRAM INSPECTION.,CHECKLIST
SECTION 1 Hazardous Materials Business Plan
Incrwar±tinn
FACILITY NAME
INSPECTION DATE
BAKERSFIELD- FIRE DEPT.
ROUTINE£ ❑ 'COMBINED ❑ El
Prevention Services
E ERSFI D
2101HStreet
FIRE
A R YX
Bakersfield, CA 93301
PHONE.NO., ..
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ROUTINE£ ❑ 'COMBINED ❑ El
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
ADDRESS
PHONE.NO., ..
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS' ID;N'UMBER '
Consent to Inspect Nardefritle
r
Inspector:a
POST INSPECTION INST UGTIONS:
r
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this age to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept. Prevention Services 2101 H Street California 9330
C V = owhance OPERATION CERS
V- Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BM :15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C R: 2729.1) 1010008
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
VERIFICATION OF LOCATION ( CR: 2729.2)
PROPER SEGREGATION OF MATERIAL ( FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 273 1) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, FC: 2703.5) 3030007
HOUSEKEEPING CFC: 304.1)
' FIRE PROTECTION (CF C: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES Cll�''NO i tur"e'og" -ei t
Explain:
Date
White - Business Copy Yellow - Station Copy Pink- 3revention Services
FD2155 (Rev 8//14)
f
yJOINTAGENCY V
ROUTINE£ ❑ 'COMBINED ❑ El
MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
Inspector:a
POST INSPECTION INST UGTIONS:
r
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this age to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept. Prevention Services 2101 H Street California 9330
C V = owhance OPERATION CERS
V- Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BM :15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C R: 2729.1) 1010008
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
VERIFICATION OF LOCATION ( CR: 2729.2)
PROPER SEGREGATION OF MATERIAL ( FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 273 1) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, FC: 2703.5) 3030007
HOUSEKEEPING CFC: 304.1)
' FIRE PROTECTION (CF C: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES Cll�''NO i tur"e'og" -ei t
Explain:
Date
White - Business Copy Yellow - Station Copy Pink- 3revention Services
FD2155 (Rev 8//14)
f
Inspector:a
POST INSPECTION INST UGTIONS:
r
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this age to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept. Prevention Services 2101 H Street California 9330
C V = owhance OPERATION CERS
V- Violation; 1,11 Minor Violation COMMENT
APPROPRIATE PERMIT ON HAND (BM :15.65.080) 3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C R: 2729.1) 1010008
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
VERIFICATION OF LOCATION ( CR: 2729.2)
PROPER SEGREGATION OF MATERIAL ( FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) 1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (CCR: 273 1) 1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(0, FC: 2703.5) 3030007
HOUSEKEEPING CFC: 304.1)
' FIRE PROTECTION (CF C: 903 & 906) 3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2) 1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES Cll�''NO i tur"e'og" -ei t
Explain:
Date
White - Business Copy Yellow - Station Copy Pink- 3revention Services
FD2155 (Rev 8//14)
f