HomeMy WebLinkAboutHAZMAT INSP 6/10/2015aRYN BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHEC LIST t 2101 HStreet
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HaZ -Mat Busine Plan and Inventory Program Tel.: (661) 326 -3979
ss
ax: (661) 852 -2171
FACILITY NAME p {( q ( p y{ INSPECTION DATE INSPECTION TIME
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
® ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ 1 MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
C= Compliance) OPERATION
V= Violation
COMMENTS
El
❑
VISIBLE ADDRESS (CFC: 505.1, BM,",:
15.52.020)
El
❑
APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
0
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(
&S 25404(e)
El
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(
CR:2729.1)
El
❑
VERIFICATION OF INVENTORY MATERIALS
CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
i
CCR: 2729.4)
E
❑
VERIFICATION OF LOCATION
CCR: 2729.2)
Q
❑
PROPER SEGREGATION OF MATERIAL
CFC: 5004.1)
91
❑
SAFETY DATA SHEET AVAILABILITY
(CCR
2729.2(3)(b))
❑
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (
CR:2731(c))
El
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f);
CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
L
❑
FIRE PROTECTION
(CFC:
903 & 906)
0
❑
SITE DIAGRAM ADEQUATE & ON HAND
(C
R: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0
NO
E x p l a i n:
Si nature of Receipt:
r06'1 IN rJ' U11UiN UN. IAU1. 11VIN3 rUic icr.i UX%1'N- iU- t.vivii
i at�ire,1that all violations have been corrected as noted)
• Correct the violation(s) noted above by .
• Within 5 days of correcting all of the violations, sign and return a copy of this page t M
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)