HomeMy WebLinkAboutHAZMAT INSP 6/17/201635 BPMRSFIELD FIRE DEPT.
Prevention Services
R 34 R
D F. 8 F 11
) 2101 H Street
IR.
UNIFIED PROGRAM INSPECTION CHECKLIST FM
, Bakersfield, CA' 93301
AftrAllf
Tel.: (661) 326-3979
SECTION 1 Hazardous Materials Business Plan Fax: (661) 852-2171
Inspection
FAq ITY NAME,
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BM
C: 15.65.080)
ADDREd'S' 'IN
PHONE 1140. 2
'NO OF EMPLOYEES
FACILITY CONTACTI
Z,
2729.1)
BUSINESS ID NUMBER
Consent to Inspect Name/Title
ON
ON'
Iwo
0
1,01 4m ,teu
P,ROUTINE ❑ COMBINED ❑ JOINTAGENCY MULTI - AGENCY GENCY COMPLAINT ❑ RE-INSPECTION
C V (;=Uompliance OPERATION
V=Violation; 1,11 Minor
CERS'
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
C: 15.65.080)
3010001
V/
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
VISOLE ADDRESS (CFC: 505.1, BIV
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
-1/1
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
VERIFICATION OF LOCATION (OCR:
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)
1026002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (0CR:2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (OCR: 66262.34(f),
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE -8w . ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASOIE 6N SITE� ❑ YES 1A\N0
ISienature
of Recehk 10111� /'I Ac�
Explain: Inspector:
POST �INS#E&iON INSTRUCTIONS:
• Correct the violation(s) noted above by
• 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 933C 1
Date
White — Business Copy Yellow — Station Copy Pink — Prevention Services.
FD2155 (Rev 8//14)