HomeMy WebLinkAboutHAZMAT INSP 5/15/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business
16snaction •
BMERSFIELD FIRE •
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FACILITY NAME r , f
INSPECT N DA
INSPECTION TIME
1f
APPROPRIATE PERMIT ON HAND (BM
:15.65.080)
ADDRESS F1
PHO E NO.
NO OF EMPLOYEES
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
:15.52.020)
Consent to Inspect Name/Title
.x -� :. u s s '� ,. z r v., ..,,: r. ., -' ✓ .. ;;;v a r # �� rt r..;�� ^r..: z.. ,. is `�,v�., ,� e
<:, r ..and Ilnvento Pro ram � � ,.
ection mess Pla
ROUTINE ❑ COMBINED ❑ JOINTAGENCY El MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V G=Cornpuance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM
: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 (CCR:
2729.3)
1010004
a.
VERIFICATION OF QUANTITIES (0
CR: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL ( (,FC:
2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR:
29.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (CCR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED (CCR: 66262.34(f),
FC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION (CF
: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Signature ofReceipt
Explain:
Inspector•
POST IN. ON INST CTIONS:
• Correct the violation oted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 933 l
White — Business Copy Yellow — Station Copy Pink 1Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8/114)