HomeMy WebLinkAboutHAZMAT INSP 6/22/2016UNIFIED PROGRAM INSPECTION CHECKL
-1-1-1.1.1 ..........
SECTION 1: Hazardous Materials Business
Inspection
BAKERSFIELD FIRE DEPT.
Prevention Services
4 �LRSFJ . ... .... D
. . . .......... .. .......... .......... 2101 H Street
FIRE
IST AJDVM Bakersfield, CA 93301
r
Tel.: (661) 326-3979
o Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
V=Violation; 1,11 Minor
Violation
COMMENT
ADDRESS
PHONE NO.
NO OF EMPLOYEES
x/
7,
APPROPRIATE PERMIT ON HAND (BM I":
15.65.080)
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name/Title
[0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY MULTI—AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v C= Compliance OPERATION
CERS
V=Violation; 1,11 Minor
Violation
COMMENT
x/
APPROPRIATE PERMIT ON HAND (BM I":
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
I": 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (OR:
C 2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (CCR:2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
QFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
CR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ED YES ❑ NO
Signature of Receipt
Explain:
Inspector•
POST INSPk&16N,NSTRUir_TIONS:
Correct the violation(s) noted above by
0 Within 5 days of correcting all of the violations, sign and return a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933
Date
A
White — Business Copy Yellow — Station Copy Pink — evention Services FD2155 (Rev 8//14)