HomeMy WebLinkAboutHAZMAT INSP 5/26/2017i imiFiFn PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business
InL-r nd%*i^n
FACILITY NAME a` ", " r
INSPECTION DATE
INSPECTION TIME
r,,
APPROPRIATE PERMIT ON HAND (BM G:
15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
F'
2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
: 15.52.020)
Consent to Inspect Name /Title
" ".k G. °'
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El ROUTINE El COMBINED El JOINT AGENCY El MULTI-AGENCY ❑ COMPLAINT El RE- INSPECTION
omp
C V = lance OPERATION
v =violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM G:
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
VISIBLE ADDRESS (CFC: 505. 1, BM ('
: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (C
CR: 2729.4)
1010006
VERIFICATION OF LOCATION ( (,CR:
2729.2)
PROPER SEGREGATION OF MATERIAL (
FC: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (
CR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS. ROPERLY LABELED (CCR: 66262.34(f),
_"FC: 2703.5)
3030007
;
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CF
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature ofRecei t
Explain:
Inspector: /-< : Zd140
POST INSPECTION 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 933 1
Date
White — Business Copy Yellow — Station Copy Pink Prevention Services FD2155 (Rev 8H14)