HomeMy WebLinkAbout2017 HAZMAT (2)i
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPE¢TION C:HEGKLIST �
2101 H Street
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Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program
Tel.; (6fi1) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME .
ADDRESS
PHONE NO.
NO OF EMPLOYEES
L'-
FACILITY CONTACT
BUSINESS ID NUMBER
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Consent to In ect Name /Title
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V r C= Compliance OPERATION
COMMENTS
V= Violation
VISIBLE ADDRESS (CFC: 505.1, B MC: 15.52.020)
w. ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65,080
. ❑ CERS UPDATED FOR, THE CURRENT CALENDAR: YEAR (H &S 25404(e)
lIII
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
/
❑ 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)
.
[ ❑ 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))
:'�r❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731P
4r ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
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❑ FIRE PROTECTION (CFC: 903 & 906
❑ SITE DIAGRAM ADEQUATE & ON HAND. (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? '�� ES ❑ NO
Explain:
Si nature of Receipt:
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 Ff 2155 (Rev 1/14)