HomeMy WebLinkAboutHAZMAT INSP 6/1/201706/01/2017 11:41pm RITEAlDO6791 6610270763
UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Matelials Bush Plan
I t7s 1017 _
FACILITY NAME
ADDRESS ��► � .,�•�,�
FACILITY CONTACT
Consent to Inspect Na m/Tltle
i
4264 Page 02
,. ESA MRSFMLD FIRE DEFT.
Prevention Services
2101 H Street
T Bakersfield, CA 9'3301
TeL: (661) 326 -3979
Fax! (661) 552 -2171
ISRECTION DATE
HCiE NO. _,,,7
USINESS IC NUMBEI
f l 1
4f "
FI=CTION TIME
OF EMPLOYEE
' • �' ' � :I�� `• +'� :: '. - <• {•, may. .•i• ..�••� fit.
..y..'i� :� ,: :.. :.ri�•i;
i
I''��'�'�'nV•
ROUTINE COMBINED d JOINTAGE:NGY
MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V = 0mp anca OPERATION
V.FVlolation;1,11 Minor
CERS
V101ation
COMMENT
Al"PE10PRIATE PERMIT HAND
3010001
BUSINESS PLAN CONTACT INFORMATION A40URATE (C
Fl; $729.1)
10100{}B
VISIBLE ADDRESS (CFC: 5015.1, ECM
: 15.52.020)
CORRECT t7CC UPANCY
(CBC: 401)
IK
VERIFICATION OF INVENTORY MATERIALS (C
CR: 2729.3)
101000
VERIFICATION OF OLIANTITIES (OCR:
2729.4)
10100061
XVERIFIOt1TION
OF 1- AVION (C
CR. 2729.2)
7�
PROPER SEGREGATION OF MATERIAL (FC
:27(Id.1)
VERIFICATION OF SDS AVAILABILITY ICOR; 2,1
29.2(3)(1 ))
VERIFICATION OF HAZ MAT TRAINING
CCR: 2732)
142000
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
A: 2731(0))
EMERGENCY PROCEOURES ADEQUATE
(ODR: 2701)
1010171
CONTAINERIS PAOPERLY [,A82LED (I;CR: 6$26Z34(f),
CPC: 2703.5)
3030007
Hi7USEKEEPiNG
FIFE PROTECTION (CF
(CFC: 304.1)
:803 & 906)
9030032
$tTE 0IA00AINI AI)EQUATI III ON HAND (CR:
2729.2)
101000
ANY HAZARDOUS WASTE ON SITE? ❑ YE',a' NO
sitna tutticdiReceipt
II
Explain.-
POST INSPECTION INSTRUCnONS;
• c0=01 the violadoo(s) noted above by J
• Within 5 days of correcting all of the vieladons. sign and =turn a copy of this page to'
Bakersfield Fire Dept., Provontion Scry um 2101 H SOW. Calif0mie. 9330
White — Business Copy Yellow — Station Copy Pink — Nevendon Strokes
Sigaaturc (that ail violations have bw co=tad as noted)
FD2155 (Rev 31/14)