HomeMy WebLinkAboutHAZMAT INSP 6/2/2016BAKERS,FIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHEC LIST aRrm 2101 HStreet
field CA 933 Bakers
Haz -Mat Business Plan and Inventory Program
Tel.: (661) 326 -3979
w Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
.r^, ` ` ° s�• �. f� }jar' s `""-� �.,,� " .,,�.,." �1 fi .mss. ;.._ `'"'''�
PHONE NO. NO OF EMPLOYEES
ADDRESS „t
BUSINESS ID NUMBER
FACILITY CONTACT
Consent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ I MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
C V ( C= Compliance OPERATION
V= Violation
COMMENTS
0 ❑ VISIBLE ADDRESS (CFC: 505.1, BM
❑ APPROPRIATE PERMIT ON HAND (B
:15.52.020)
C: 15.65.080)
❑- ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (
&S 25404(e)
El ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (
M. ❑ VERIFICATION OF INVENTORY MATERIALS
CR: 2729.1)
CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES
Q- ❑ VERIFICATION OF LOCATION
CCR: 2729.4)
CCR: 2729.2)
®. ❑ PROPER SEGREGATION OF MATERIAL
CFC: 5004.1)
® ❑ SAFETY DATA SHEET AVAILABILITY (CCR:
❑ VERIFICATION OF HAZ MAT TRAINING
2729.2(3)(b))
(CCR: 2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
❑ EMERGENCY PROCEDURES ADEQUATE
D ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f)
CCR :2731(c))
(CCR: 2731)
CFC: 5003.5)
[� ❑ HOUSEKEEPING
p ❑ FIRE PROTECTION (CFC:
(CFC: 304.1)
903 & 906)
[�. ❑ SITE DIAGRAM ADEQUATE & ON HAND (C
ANY HAZARDOUS WASTE ON SITE? ❑ YES C - NO
Explain:
R: 2729.2 (3))
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Yellow — Business Co to be Sent in after return to Compliance
White — Business Copy Copy
Signftur6Aat all violations have been corrected as noted)
page to:
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)