HomeMy WebLinkAboutHAZMAT INSP 5/17/2017UNIFIED PROGRAM INSPECTION CHIECK6ST
SECTION 1: Hazardous Materials Business
Insnection
BAKERSFIELD FIRE DEPT.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
APPROPRIATE PERMIT ON HAND (BM
Q1: 15.65.080)
ADDRESS
10 \P 4
PHONE NO.
-4
�Zz"V";C'�S4- ,
NO OF EMPLOYEES
FACILITY CONTACT
CR: 2729.1)
BUSINESS ID NUMBER
T- "j
Consent to Inspect Name/Title
C: 15.52.020)
ROUTINE ❑ COMBINED 171 JOINT AGENCY MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V G=Gompliance OPERATION
V=Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
Q1: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
CR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM
C: 15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
VERIFICATION OF LOCATION (('
CR: 2729.2)
PROPER SEGREGATION OF MATERIAL (Q
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 PROPERLY LABELED (CCR: 66262.34(f),
CFC: 2703-5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CFC:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (C
CR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Signa re of Receivt
Explain:
Inspector:"" V
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sip 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 93301
Date
White — Business Copy Yellow — Station Copy pink — Prevention Services FD2155 (Rev 8H14)