HomeMy WebLinkAboutHAZMAT INSP 2/16/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business
Insneaon
3 «' P
BAKERSFIELD FIRE DEPT.
Prevention Services
BrA FER S 1'Z I :,,,I
2101 H Street
FIRE Bakersfield, CA, 93301
ARTM T
'f- Tel.: (661) 326-3919
4`411pp"', Fax: (661) 852-2171
FACILITY NAME
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INSPECTION DATE
INSPECTION TIME
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
Violation
L 'B
_ 0
ADDRESS
PHONE NO
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND (BM C
15.65.080)
nsent to Inspe6t Name/Title
D
C V C=Gompliance OPERATION
j
CERS
ROUTINE ❑ COMBINED ❑ JOINTAGENCY
MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Gompliance OPERATION
CERS
V=Violation; 1,11 Minor
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BM C
15.65.080)
3010001
D
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BM(,:
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 (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (GFC:
2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2'729.2(3)(b))
VERIFICATION OF'H'AZ MAT TRAINING I
CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES& PROCEDURES (C.'AR:2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
V
CONTAINERS PROPERLY LABELED (CCR: 66262.34(17, QFC:
2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
A*
FIRE PROTECTION (CF ('O:
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (C
CR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
ii tureofRecei
Explain:
Inspector:
POST INSPECTION INSTRUCTIONS:
Correct the violation(s) noted above by Al
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: Siznature'(tfiat all 'vi lalgon0h'aye. been corrected as noted)
.
Bakersfield Fire Dept., Prevention Services, 2101 H Street, Cali fornia 9330
Date
White — Business Copy Yellow — Station Copy Pink — ?revention Services FD2155 (Rev 8//1