HomeMy WebLinkAboutHAZMAT INSP 12/23/2015BAKERSFIELD FIRE DEPT.
Prevention Services
>J... F. R s F I 4, .n
UNIFIED PROGRAM INSPECTION CHEC LIST FIRE 2101 H Street
...,:::
::.. ..'3so..
.. .. :....:. :.:. .• ::� .:..:.,.::..•..,.::.r:,.,• >.. •:..n..,,.. .. .,.,+,. +,. «..:.:.'fi:.r.,..:::.. : >...., 4. w>:.. �a5 '•, >:•x.:..,a�:� ^•:»:S:.wn.:%t+ r .EY.:... #.. � pia. #.>;s >::.;y: u„
"' � ARTM T Bakersfield, CA 93301
Haz -Mat :Business Plan and Inventory Program Tel.: (661) 326 -3979
T_ lCi 1X_
1- Fax: 66` 852 -2171
FACILITY NAME
INSPECTION RATE
INSPECTION TIME
ADDRESS _
PHONE NO.
NO OF EMPLOYEES
661-5V
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
C
3
x"
k
xx
.':';::' iii:`;:' "i��i:�':i�':'•:`�:
�s �!t
C� ROUTINE ❑ COMBINED ❑ . JOINT AGENCY El
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C =Compliance OPERATION
COMMENTS
V= Violation .
E ❑ VISIBLE ADDRESS (CFC: 505.1, B.
C: 15.52.020)
19 APPROPRIATE
C: 15.65.080)
; -T<5 4A 5" T-10 fs,*_F1. r..► t 5, u iz 15 1
r elf
PERMIT ON HAND (B
V,2 1&_rr�
t '•
9 CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
r-"' (" i iA
_/ �-
j��S^�-
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
aU 'K t'A 5+ r
❑ VERIFICATION OF INVENTORY MATERIALS
(CCR:-2729.3)
E ❑ VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑ VERIFICATION OF LOCATION
(CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
E ❑ SAFETY DATA SHEET AVAILABILITY (CCR:
2729.2(3)(b))
y VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
i V\-k t i
'
❑ ❑ VERIFICATION OF ABATEMEW- SUPPLIES AND PROCEDURES
CCR:2731(c))
f
L1 ❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
ff". ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f)
CFC: 5003.5)
❑ HOUSEKEEPING
(CFC: 304.1)
[/ ❑ FIRE PROTECTION (CFC:
903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (C
R: 2729.2'(3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES JI NO
'1 t--- 1"_s tA. 6 r A-fit -�
E x p l a i n:
i nature of Re i t
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by
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
p�
�Copy
Date
White Business Co Yellow Busi to b e Sent in after return to Compliance
Pink Prevention Services Copy FD2155 (Rev 1/14)
— PY ! . —