HomeMy WebLinkAboutHAZMAT INSP 6/6/2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
In m-r —tinn
BAKERSFIELD FIRE DEPT.
Z ! !IOWA Prevention Services
$ s F r 0 2101 H Street
FIRF s`° Bakersfield, CA 93301
,++1'111 � Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME -
INSPEOTION DATE
INSPECTION TIME
'1011,911
15.65.080)
A40
7
ADDRESS - =
R: 2729.1)
PF&E 040.
NO OF EMPLOYEES
Q
p', /01 UA 67"'
VISIBLE ADDRESS (CFC: 505.1, BMC
15.52.020)
FACILITY CONTACT
s °
BUSINESS ID NUMBER
Consent to Inspect Name/Title
CORRECT OCCUPANCY
,t >... ' r,... -. .,�; v N,�. ,. £.:£ � s , d3�a �' .,. ,,. ,. ,�..w.,..:.e x� . ...,f�. . ::.. o-.. _.< .. ... s, . _�,:�.. , t K :us.. ! },. Y „':t..; >£ r f . a �� ; ♦? ra
❑ ROUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
V= Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND (BMC
15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (C
R: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC
15.52.020)
s °
CORRECT OCCUPANCY
(CBC: 401)
A `'
VERIFICATION OF INVENTORY MATERIALS (C
R: 2729.3)
1010004
VERIFICATION OF QUANTITIES (C
R: 2729.4)
1010006
VERIFICATION OF LOCATION (CCR:
2729.2)
PROPER SEGREGATION OF MATERIAL (CFC:
2704.1)
VERIFICATION OF SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR:
2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES & PROCEDURES (C
R: 2731(6))
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 (CCR:
2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
I
8ienature 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 I age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White — Business Copy Yellow — Station Copy Pink — l�evention Services
Signature (thl violations have been corrected as noted)
Date
FD2155 (Rev 8H14)