HomeMy WebLinkAboutHazmat 2017 (2)BAKERSFIELD FIRE DEPT.
r; ajARM Prevention Services
UNIFIED PROGRAM INSPECTION C HECKLIST h 2101 H Street
.Bakersfield, CA 93301
Haz Mat Business Plan and Inventory Program Tel (661) 326 -3979
Fax: (661) 852- 2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
AJ
FACILITY CONTACT BUSINESS ID NUMBER
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Consent to pe' t Name /Title
i L,-- �� 5TH i 4,,k J
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v
( C= Compliance) OPERATION
COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
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APPROPRIATE PERMIT ON HAND " (BMC: 15.65.080)..
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CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
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BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)"
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VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
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VERIFICATION OF QUANTITIES (CCR: 2729.4)
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VERIFICATION OF LOCATION (CCR: 2729.2)
❑.
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY (CCR: 2129.2(3)(b))
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VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
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VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
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EMERGENCY PROCEDURES ADEQUATE : (CCR: 2731)
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CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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HOUSEKEEPING (CFC: 304.1)
° ❑
FIRE PROTECTION (CFC: 903 & 906)
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SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
Explain:
Si nature of"Recei t:
7\k7 /
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Sign e &at all violations have been corrected as noted)
• . 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
Date
White - Business Copy Yellow— Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)