HomeMy WebLinkAboutHAZMAT INSP 6/1/2017BAKERSFIELD FIRE DEPT.
Prevention Services
$....... R.....5............ p 2101H Street
FIRE Bakersfield, CA 93301
UNIFIED PROGRAM INSPECTION CHECKLIST. Amrx r
Tel.: (661) 326 -3979
SECTION 1: Hazardous Materials Business Plan Fax: (661) 852 -2171
Ins ction
FACILITY NAM M�°"� <' A INSPECTION DATE INSPECTION TIME
d^ 'S ..�d;C� fa
ADDRESS' "', ,', _ PHONE NO. NO OF EMPLOYEES
� ;,.^
FACILITY CONTACT BUSINESS ID NUMBER�A „�
Consent to inspect Name /Title Ne
__r. ...........,�
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY I MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Oompliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
F
APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
3010001
V
BUSINESS PLAN CONTACT INFORMATION
ACCURATE (
CR: 2729.1)
1010008
VISIBLE ADDRESS
(CFC: 505.1, B
C: 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
CFC: 2704.1)
,F
VERIFICATION OF SDS AVAILABILITY
(CCR:
2729.2(3)(b))
r
VERIFICATION. OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OFABATEMENT SUPPLIES
& PROCEDURES (OCR:
2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
f f
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(f)
CFC: 2703.5)
3030007,
HOUSEKEEPING
(CFC: 304:1)
f '
FIRE PROTECTION
(CFC:
903 & 906)
3030032
r'
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE OWN SITE? DYES
❑ NO
Signature ofRecei t
Explain:
Inspector: _ ._....-
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5. days of correcting, all of the violations, sign a' nd return a copy of s page 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 Prevention Services FD2155 (Rev 804)