HomeMy WebLinkAboutHAZMAT INSP 6/1/2017BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHEC LIST FIRE... 2101 HStreet
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME °" INSPECTION DATE INSPECTION TIME
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ADDRESS PH. ONE NO..f NO OF EMPLOYEES
FACILITY CONTACT d �✓
BUSINESS ID NUMBER
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Consent to Inspect Name /Title
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' ROUTINE ❑ COMBINED ❑ JOINT AGENCY 0 MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V ( L= Gompuance OPERATION
COMMENTS
V= Violation
❑ VISIBLE ADDRESS
(CFC: 505.1, B
C: 15.52.020)
❑i ❑ APPROPRIATE PERMIT ON HAND
a
(MC:
15.65.080)
O� ❑ CERS UPDATED FOR THE CURRENT CALENDAR
YEAR
I
(H &S 25404(e)
t❑ ❑ BUSINESS PLAN CONTACT INFORMATION
ACCURATE
(CCR: 2729.1)
0 ❑ VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
8 ❑ VERIFICATION OF QUANTITIES
f
(CCR: 2729.4)
C1 ❑ VERIFICATION OF LOCATION
(CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0 ❑ SAFETY DATA SHEET AVAILABILITY
(CCR:
2729.2(3)(b))
❑ ❑ VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES
AND PROCEDURES
(CCR:2731(c))
El' ❑ EMERGENCY PROCEDURES ADEQUATE
r
(CCR: 2731)
EI ❑ CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f;
CFC: 5003.5)
E ❑ HOUSEKEEPING
(CFC: 304.1)
❑ ❑ FIRE PROTECTION
X
(CFC:
903 & 906)
r ❑ SITE DIAGRAM ADEQUATE & ON HAND
(CCR:
2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑
YES ❑ NO
Explain:
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POST INSPECTION INSTRUCTIONS FOR RETURN -
O- COMPLIANCE:
• Correct the vio�lation(s),noted above by
Signature (that all violations have been corrected as noted)
• Within 5 days of correcting.ali of the violations, sign and
return a copy of thi
page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street,
California 93301
Date
White —Business Copy Yellow — Business Copy to be Sent in
after return to Compliance
Pink Prevention Services Copy FD2155 (Rev 1/14)