HomeMy WebLinkAbout-Hazmat 2017UNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Insnedion
W, BMERSFIELD FIRE DEPT.
-- Prevention Services
B3 All E R S F r D 2101 H Street
1URE Bakersfield, CA 93301
T Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSP CT19N DATE
INSPECTION TIME
f'" Eg f Ir ,4-o --ro w iFa-s-
-3/g/ l Z 4 t '7
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
S-73 `7 co
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
FACILITY CONTACT
BUSINESS ID NUMBER
/0-7 W '7
Consent to Inspect Name/Title
U.VS —r' 4P-1=,E' ��t_t L
r ..
: f. Y S F �T b r, r ..>� iu 3 ... K £ C) 3'HS., f .a• ..., =: 4 ' f C 1 3. t t xi X . � " Y
(: Z„ . > ',�. � �.:�3 ?� r � . z.. i C:� .'ti � ,a� S .SV ,1,:.0 L, 4 .i: 4v�,. ,.,; ' �.. �:,. C'.. ,� 4 v =s.. •• � ?°t.:`,3 s '� ,�r. ', s, � Z:: y r"< ♦ -.:
OUTINE ❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C=Gompliance OPERATION
V= Violation; 1,11 Minor
CERS
Violation
COMMENT j
APPROPRIATE PERMIT ON HAND (BMC:15.65.080)
3010001
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
1010008
VISIBLE ADDRESS (CFC: 505.1, BMC: 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)
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(f), CFC: 2703.5)
3030007
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
3030032
iC
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2)
1010005
ANY HAZARDOUS WASTE ON SITE? ❑ YES 'ENO
ISianature ofRecei t
VAJ s ". Yp° FCJ S r" -
Explain:
inspector: i-f •4
POST INSPECTION INSTRUCTIONS:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
White - Business Copy Yellow - Station Copy Pink - Prevention Services
Signature (that all violations have been corrected as noted)
Date
FD2155 (Rev 8H14)