HomeMy WebLinkAboutHAZMAT INSP 2/16/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1 Hazardous Materials Business Plan
Insrlection
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BAKERSFIELD FIRE DEPT.
Prevention Services
B R R s �F 11D 2101 H- Street
�FIRE Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ ROUTINE I] COMBINED ID JOINTAGENCY
MULTI- AGENCY ID COMPLAINT ❑ RE- INSPECTION
3010001
ADDRESS
2729.1)
PHONE NO _
7.
O OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
15.52.020)
Consent to Inspect Name/Title
C V G= Compliance OPERATION
V =Violation; 1,11 Minor
,
a
❑ ROUTINE I] COMBINED ID JOINTAGENCY
MULTI- AGENCY ID COMPLAINT ❑ RE- INSPECTION
C V G= Compliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR:
2729.1)
101000$
VISIBLE ADDRESS (CFC: 505.1, BMC
15.52.020)
CORRECT OCCUPANCY
(CBC: 401)
VERIFICATION OF INVENTORY MATERIALS (CCR:
2729.3)
1010004
,
VERIFICATION OF QUANTITIES (CCR:
2729.4)
1010006
n
VERIFICATION OF LOCATION (CCR:
2729.2)
d
PROPER SEGREGATION OF MATERIAL (C
C: 2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CR:
2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(c))
EMERGENCY PROCEDURES ADEQUATE (OCR:
2731)
1010010
� 4
CONTAINERS PROPERLY LABELED (CCR: 66262.34(% C
C: 2703.5)
3030007
HOUSEKEEPING (
FC: 304.1)
Ilk
FIRE PROTECTION (CFC
903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND (C
R: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0'. NO
Simture ofRecei t
Explain:
{
Inspector: . „
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 p ige 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 - evention Services FD2155 (Rev 8//14)