HomeMy WebLinkAboutHAZMAT INSP 3/16/2016,a
UNIFIED PROGRAM INSPECTION CHECK IST
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SECTION 1: Hazardous Materials Business Plan
Ins ction
FACILITY NAME ,
ADDRESS
a y>
FACILITY .CONTACT �.
Consent to Inspect Name/Title
BAKERSFIELD FIRE DEPT.
IN,kPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY 13 MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V= Comp lance OPERATION
C E R S
V =Violation; I,II Minor
Violation
COMMENT
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
z} • Within 5 days of correcting all of the violations, sign and return a:copy of this
page to:
APPROPRIATE PERMIT ON HAND (BM
: 15.65.080)
3010001
1
^
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
"✓
VISIBLE ADDRESS (CFC: 505.1, B
C: 15.52.020)
White — Business Copy Yellow — Station Copy Pink —
Prevention Services
V rP
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:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
FC: 2703.5)
3030007
,
HOUSEKEEPING
(CFC' 304.1)
FIRE PROTECTION (CF
r,: 903 & 906)
3030032
.
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? D YES ❑ NO
Signature ofReceipt
Explain:.
Inspector. t
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
z} • Within 5 days of correcting all of the violations, sign and return a:copy of this
page to:
Signature "(that all violations ha fe Ueen corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933
1
w '
F
Date
White — Business Copy Yellow — Station Copy Pink —
Prevention Services
FD2155 (Rev 8//14)