HomeMy WebLinkAboutHAZMAT INSP 6/1/2017a BAKERSFIELD FIRE DEPT.
t s Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST R �FiRE -i `- 2101 H street
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HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
`I Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
/ s "
ADDRESS PHONE NO NO OF EMPLOYEES
FACILITY CONTACT
r BUSINESS ID NUMBER
t.,
IV
ronsent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V( u =uompuance) OPERATION
V= Violation
❑ VISIBLE ADDRESS
(CFC: 505.1, B
C: 15.52.020)
21 ❑ APPROPRIATE PERMIT ON HAND
(E
MC: 15.65.080)
❑ CERS UPDATED FOR THE CURRENT CA
I LENDAR YEAR
(H &S 25404(e)
❑ BUSINESS PLAN CONTACT INFORMATIO
ACCURATE
(CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIA IS
(CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES
(CCR: 2729.4)
d ❑ VERIFICATION OF LOCATION
(CCR: 2729.2)
'J❑ ❑ PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
F ❑ SAFETY DATA SHEET AVAILABILITY
(CC
: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
r❑ ❑ VERIFICATION OF ABATEMENT SUPPLIE
AND PROCEDURES
(CCR:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f
; CFC: 5003.5)
❑ HOUSEKEEPING
(CFC: 304.1)
C ❑ FIRE PROTECTION
(CFC:
903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND.
(CCR:
2729.2 (3))
ANY HAZARDOUS WASTE ON SITE?
ES ❑ NO
Explain:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by I
• Within 5 days of correcting all of the violations, sign and return a copy of thi page 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
COMMENTS
e- gnature (that all violations Lave been corrected as noted;
i f —7;
Date fi
Pink Prevention Services Copy FD2155 (Rev 1/14)