HomeMy WebLinkAboutHAZMAT INSP 6/23/2015BAKERSFIELD FIRE DEPT.
onsdnt to Inspect Nam�Mtle
a ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑
J
MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
Prevention Services
UNIFIED PROGRAM INSPECTION CHEC
I
LIST-"r'
F F I T� 1 2101 H Street
m
V=Violation
FIRE
A RTM r
RTN T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program
M ❑ VISIBLE ADDRESS (CFC: 505.1, BM
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
[5, ❑ APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
INSPECTION DATE
INSPE,P�PON TIME
25404(e)
7(-P V
ADDRESS
J/b
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (:)CR:
2729.1)
No OF �,MPLOYEES
2729.3)
rr 4 r
❑ ❑ VERIFICATION OF QUANTITIES (CCR:
2729.4)
Leh ❑ VERIFICATION OF LOCATION (CCR:
2729.2)
FACILITY CONTACT
EV ❑ PROPER SEGREGATION OF MATERIAL (CFC:
5004.1)
BUSINESS ID NY, BER
�M
❑ SAFETY DATA SHEET AVAILABILITY (CCR:
�A
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
onsdnt to Inspect Nam�Mtle
a ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑
J
MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C v C=Compliance) OPERATION
COMMENTS
V=Violation
M ❑ VISIBLE ADDRESS (CFC: 505.1, BM
C: 15.52.020)
[5, ❑ APPROPRIATE PERMIT ON HAND (B
C: 15.65.080)
Eq ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (I&S
25404(e)
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (:)CR:
2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
❑ ❑ VERIFICATION OF QUANTITIES (CCR:
2729.4)
Leh ❑ VERIFICATION OF LOCATION (CCR:
2729.2)
EV ❑ PROPER SEGREGATION OF MATERIAL (CFC:
5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR:
2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (C
'CR:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);
'�FC: 5003.5)
E,4 ❑ HOUSEKEEPING
(CFC: 304.1)
Ed ❑ FIRE PROTECTION (CF
C: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 01 NO
Explain:
Signature of RediDt'..
4 14,
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
SiAature� (that all A. ations have geerporrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this I
age 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)