HomeMy WebLinkAboutHAZMAT INSP 5/25/2017BAKERSFIELD FIRE DEPT.
Prevention Services
........ ...E.....R...._s....:�.....�... L. 2101 H Street
FIRE Bakersfield CA 93301
UNIFIED PROGRAM INSPECTION CHECKLIST ARTM r ,
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Inspection
FACILITY NAME,,-, } p- INSPECTION DATE INSPEyCTION TIME
�.�1 ; [�.,.%.... �„�"." "�3 {`^� �, d"'y" y bra_ �,;.a-"W` „.,s (§ , �,' ,¢. jX��Ff ` i ;r da'
ADDRESS PHONE NO. NO OF EMPLOYEES
" FACILITY CONTACT BU (NESS ID NUMBER
Consent to Inspect Name /Title
P
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within S days of correcting all of the violations, sign and return a. copy of 's page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93 01
Date
1171,;tP — R„cina.sa C-nnv Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 804)
❑ ROUTINE ❑ COMBINED ❑ J OINT AGENCY ❑
77
MULTI - AGENCY., ❑ COMPLAINT RE- INSPECTION
C V = omp lance OPERATION
V= Violation; 1,11 Minor
C E _RS
Violation.
COMMENT
APPROPRIATE PERMIT ON HAND (BM
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
VISIBLE ADDRESS (CFC: 505. 1, BM
: 15.65.080)
CR: 2729.1)
3010001
1010008
:15.52.020)
CORRECT OCCUPANCY
VERIFICATION OF INVENTORY MATERIALS (
VERIFICATION OF QUANTITIES (CR:
(CBC: 401)
CR: 2729.3)
1010004
2729.4)
1010006
y
VERIFICATION OF LOCATION (CCR:
2729.2)
s
S
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF SDS AVAILABILITY (CCR:
FC: 2704.1)
729.2(3)(b))
'
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f)
HOUSEKEEPING
(CCR: 2731)
1010010
CFC: 2703.5)
3030007
(CFC: 304.1)
FIRE PROTECTION (CFC:
SITE DIAGRAM ADEQUATE & ON HAND
903 & 906)
3030032
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? 4 °DYES 171 NO
Explain:
Ins ector• .��'° �i ;� "':.°�',' .
gnature of Receg ; d
i t
P
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within S days of correcting all of the violations, sign and return a. copy of 's page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93 01
Date
1171,;tP — R„cina.sa C-nnv Yellow — Station Copy Pink — Prevention Services FD2155 (Rev 804)