HomeMy WebLinkAboutHAZMAT INSP 3.28.17BAKERSFIELD FIRE DEPT.
Prevention Services
R.... F:. R. S .F. [ ... !. .
UNIFIED PROGRAM INSPECTION CHECKLIST' F�R� 2101HStreet
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:.- ::.�f, Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program j 440 Tel.: (661) 326 -3979
Fax: . (661) '852 -2171
FACILITY NAME
INSPECTION /DATE
INSPECTION TIME
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
1% 01C 12
❑
.FACILITY CONTACT
BUSINESS. ID NUMBER
❑ )5�
Consent Inspect Namtitle
(CCR: 2729.1)
11
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
C= Compliance _ OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑ )5�
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
VERIFICATION OF QUANTITIES
(CCR:. 2729.4)
.❑ J&
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CC.R: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
_ ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑ YR
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 'YES ❑
NO
Explain:
i natur fRe
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that 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)