HomeMy WebLinkAboutHAZMAT INSP 6/1/2017BAKERSFIELD FIRE DEPT.
---- Prevention Services
UNIFIED P?ROGRAM INSPECTION CHEC LIST x- FF RE
A jr 2101 H Street
Bakersfield, field CA 93301
`F
Haz -Mat Business Plan and Inventory Program Tel.. (661) 326 -3979
I Fax: (661) 852 -2171
FACILITY NAME ' ..1 i INSPECTION DATE INSPECTION TIME
.
ADDRESS jt q PHO_ NE NO. / NO OF EMPLOYEES 00 AA
FACILITY CONTAC,. »T ` BUSI?NE,jSS ID NUMBER
onsent to Inspect Namje /Title �, 1
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: '' r
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature /(that all violatiogs4ave been corrected as noted)
Date
Pink Prevention.Services Copy FD2155 (Rev 1/14)
C V ( c.;= c;ompuance� OPERATION
V= Violation
COMMENTS
,0 ❑ VISIBLE ADDRESS
(CFC: 505.1, B
C: 15.52.020)
❑ ❑ APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
,❑ ❑ CERS UPDATED FOR THE CURRENT CAL,
NDAR YEAR (
&S 25404(e)
❑ ❑ BUSINESS PLAN CONTACT INFORMATION
,ACCURATE (CC
R: 2729.1)
❑ ❑ VERIFICATION OF INVENTORY MATERIALS,
CCR: 2729.3)
❑ ❑ VERIFICATION OF QUANTITIES
CCR: 2729.4)
❑ VERIFICATION OF LOCATION
CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL
CFC: 5004.1)
E ❑ SAFETY DATA SHEET AVAILABILITY
(CCR
2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES
AND PROCEDURES (
CR:2731(c))
❑ ❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f);
CFC: 5003.5)
❑ ❑ {-HOUSEKEEPING
(CFC: 304.1)
❑ ❑ FIRERROTECTION
(CFC:
903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND
(C
R: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE?
ES ❑ NO
Explain:
S of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: '' r
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this age to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature /(that all violatiogs4ave been corrected as noted)
Date
Pink Prevention.Services Copy FD2155 (Rev 1/14)