HomeMy WebLinkAbouthazmat 2017_18-24BAKERSFIELD. FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST FIRE 2101 H street
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ARTM T Bakersfield, CA 93301
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Haz -Mat Business Plan and Inventory Program :y Tel.: (661).326 -3979
Fax: (661) 852.-121171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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ADDRESS
PHONE NO.
NO OF EMPLOYEES
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ROUTINE 0 COMBINED ❑. JOINT AGENCY
❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
+ 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)
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ROUTINE 0 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)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE.CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
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))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732}
; `
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES. (CCR:2731(c))
�A
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
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❑
HOUSEKEEPING
(CFC: 304:1)
-
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE& ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES r �0
NO
Explain:
i 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 FD2155 (Rev 1/14)