HomeMy WebLinkAboutHAZMAT INSP 11/9/20151
BAKERSFIELD . FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST
FIRE
21:01 H
Street
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v....'.. - - � Bakersfield, CA 93301 ;
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 =3979
Fax: (661) 8-52 -2171
FACILITY NAME INSPECTION DA E INSPECTION TIME
ADDRESS PHONE NO. NO O.F^ EEMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑
MULTI- AGENCY ❑ COMPLAINT ❑ RE-.INSPECTION
C. V .C= Compliance OPERATION
COMMENTS
V= Violation
❑ VISIBLE ADDRESS. (CFC: 505.1, BM
:15,52.020)
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17 ED/ APPROPRIATE PERMIT ON HAND (BM
Q: 15.65 0$07
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❑ 13/ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (F
&S 25404(e)
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ACCURATE (
CR:2729.1)
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11 EV' BUSINESS PLAN CONTACT INFORMATION
VERIFICATION OF INVENTORY MATERIALS (
OR: 2729.3)
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( ❑ VERIFICATION OF QUANTITIES (CR:
2729.4)
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c 650 L P. S; -` F 6 P S Cc) C.... F- t ,,
❑ VERIFICATION OF LOCATION (CCR.
' 2729.2)
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❑ PROPER SEGREGATION OF MATERIAL (
FC: 5004.1)
❑ 09 SAFETY DATA SHEET AVAILABILITY . (CCR:
729.2(3)(b))
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❑ gr'e' VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (C
CR:2731(c))
❑ [5' EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
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C� ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);
FC: 5003.5)
11 C HOUSEKEEPING
CFC: 304.1)e
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❑ FIRE PROTECTION (CF G:
903 & 906)
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❑ al SITE DIAGRAM ADEQUATE.& ON HAND (CCR:
2729.2 (3))
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ANY HAZARDOUS WASTE ON SITE? ❑ YES I' NO
F
Explain:
i nature of Recei `t:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
Correct the violation(s) noted above by t c�'
Signature (that all violations have been corrected as noted)
• 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
Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Pink Prevention Services Copy FD2155 (Rev 1/14)