HomeMy WebLinkAbouthazmat 2017_5-24BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION GHECKLIST FIRE - . 2101 HStreet
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... ,n Bakersfield, .x ..............
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Haz -Mat Business Plan and Inventory Program
y Fax: (661) 852 -2171.
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
7 �� J
l f` ::
_
FACILITY CONTACT
BUSINESS ID NUMBER
C nsent to Inspect Name /Titje -
P
ROUTINE ❑ COMBINED ❑ 'JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT. ❑ RE- INSPECTION
C V C =Compliance) OPERATION
COMMENTS
V= Violation
' ®2 ❑ VISIBLE ADDRESS (CFC: 505.1, BMC`.15.52.020)
f
` ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65,080).
.�'- ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)u,
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS. (CCR: 2729.3)
.
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION. (CCR: 2729.2)
❑ PROPER 'SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)p
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732).
0
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CC R:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
C k-, ❑ FIRE. PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES O
Explain:
Si nature f Re ii t:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
0 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)