HomeMy WebLinkAboutHAZMAT INSP 6/1/2017{
BAKERSFIELD FIRE DEPT.
Prevention Services
a E az s F I sip" P 2101 H Street
UNIFIED PROGRAM INSPECTION CHECK IST Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax:
SECTION 1. H , •
Hazardous Materials Business Plan
: (661) gs2 -2171
Inspection
FACILITY NAME
� -���° °•^•
•
INSPECTION DATE
INSPECTION TIME
+Y�" L�y qp°•3
ADDRESS $w "' ""
4'w t...>✓. .,.. 1. ,..
r»e�'viz
PHONE NO.
NO OF EMPLOYEES.
Q
FACILITY CONTACT
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
BUSINESS ID NUMBER
q" ", -<,.
BUSINESS PLAN CONTACT INFORMATION,
ACCURATE (CCR:
2729.1)
1010008
Consent to Inspect. Name/Title ry
R
VISIBLE ADDRESS ::
(CFC: 505.1, B
C: 15.52.020)
-.*.UV 't' .ate,.
%. �✓' ., , v .v , :i k �s - ....,a"'. .m.....
.. .
. , .. r :;!.. :� , ... .. �^.:, .d
r »'.�. a>n a -ei}o;t : r+ �. S �
.. .. ,:. r... .. � m.. .. .� :. .'.,}... ST r't: ,, ..fit, . 3. r
:i ... v,...: t .. .•. u. fi^� 'f.
z .:..... r ... :a ."'S'..,. t .. ,. ,tir , ,.. s .. .. �.
Eli ., ... .. ^ �. v.. _..> ,.,
.. r. l.::. r., rh: i,y n Yy ., ,n- a..�. 'x:.. ,.. -•rr£.
R.,v. :�.... (a�4 �,ar „i ..,.. £
^n: ��.
x t . ,.: �
. .. a s'x £".. d.. t
'r .. \�
-nv.W' `A .F
"�+:.. ':4 to Y..,,..
... t.
,.,.... _..£.. ., .,. .,
.. .. ,. >"r .: +:va _: .. .,
rY
�. Sf. t•. 3 r,
'm
fi. k d ✓H .M/
h.
... ...... ,rnl. .,i
.4. ' ,. � :. V:
.. ... S
{ ,a s .�.Fsa' s
.L .... V, zMEN,
� � , >. ... .,. '�
,, :k -5. -- ' -. 3f .:
,... u>s>.:. a. 4.
> L.... .N cam,
..,,. .. nN'.. > " 'F?,a.
�( i. . Ed a v1Y.:..i.�
3Y' {. Y' cr. f✓ t rk'�r>.s�`4.: A.f i".N r” ?3': yvq ����
``.
,, . ..,.y. r�.6.•.aY.
..... - m .. .Y�` .'a .tF ,.`M'.:R x .�. y. Y S.{
, Sy ..5�,ha;::., ,�f � :
S. ,i. W>4. �> Uri
..,,.. w .
�., 1 .,R.
��
.. -o :. , -
a � ? f' �
r
�: d s PI
Bus. ne sa
, .f .. 5, x -:::.R
S"4
�,andl,In, e nto
�
4'w t...>✓. .,.. 1. ,..
r»e�'viz
,..,.., .. „..a. ..
....,,.�''..v,;.:J ., Y.+: .5t :. .a?n•.: n+f"m,'.
„ROUTINE ❑ COMBINED ❑ JOINTAGENCY
3010001
MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
CvNS' ;trip. ; ?5,
� �a
C V C= Compliance OPERATION
V =Violation; 1,11 Minor
CERS
Violation
COMMENT
APPROPRIATE PERMIT ON HAND
(B
C: 15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION,
ACCURATE (CCR:
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)
"x
VERIFICATION OF SDS AVAILABILITY
(CCR:
2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
1020002
VERIFICATION OF ABATEMENT SUPPLIES
& PROCEDURES
CCR: 2731(c))
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1010010
CONTAINERS PROPERLY LABELED
(CCR: 66262.34(fj
CFC: 2703.5)
3030007
HOUSEKEEPING
(CFC: 304.1)
JK
FIRE PROTECTION
(C
C: 903 & 906)
3030032
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE?
YES ❑ NO
ignatureofReceipt
Explain:
f
Inspector
fr•. M •..�,..: 'f ,.
Pe
POST INSPtCTION INSTRUCTIOiS: e
• Correctthe violation(s) noted above byr•.
• Within 5 days of correcting all of the violations, sign and return a copy of s page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept.,' evention Services, 2101 H Street, California 93301 I' ~'
Date"
White - Business Copy "Yellow — Station Copy ' Pink Prevention Services FD2155 (Rev 8//14)