HomeMy WebLinkAboutHAZMAT INSPUNIFIED PROGRAM INSPECTION CHECKLIST
SECTION 1: Hazardous Materials Business Plan
Inspection
FACILITY NAME
BAKERSFIELD FIRE DEPT.
tit
Prevention Services
NSPECTION DATE
3 .1
2101 H Street
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Bakersfield, CA 93301
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01L 9A VaX M k Q(VV.t
Tel.: (661) 326 -3979
_NW-00-
Fax: (661) 652 -2171
FACILITY NAME
CERS
Violation
#
tit
NSPECTION DATE
3 .1
NSPECTION TIME
ADDRESS
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01L 9A VaX M k Q(VV.t
HONE NO.
OF EMPLOYEES
FACILITY CONTAC
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VC.
1 S
BUSINESS ID NUMBER
ri oaer Nai. w.-
onsentto n
eIX a itle
1 H C C L
CORRECT OCCUPANCY (CBC: 901)
I. a
11 /IGG�A -t ad
Section 1: Business Plan and Inventory Program
ROUTINE
❑ COMBINED ❑ JOINTAGENCY ❑ MULTI- AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V orr ance OPERATION
V=Velation; 1,11 Mince
CERS
Violation
#
COMMENT
APPROPRIATE PERMIT ON HANG BMC: 15.65.080
3010001
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01L 9A VaX M k Q(VV.t
XCERS
INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2]291)
3210099
foe ft, M I et, imi
VISIBLE ADDRESS (CFC: 505.1, 8MC: 15.52.020)
1 H C C L
CORRECT OCCUPANCY (CBC: 901)
I. a
11 /IGG�A -t ad
VERIFICATION OF INVENTORY MATERIALS (GCR:2729.3)
1010004
CP/S�[a`a¢3���1397
VERIFICATION OF QUANTITIES (CCR:2729.4)
1010006
VERIFICATION OF LOCATION (MR: 2]92)
PROPER SEGREGATION OF MATERIAL (CFC: 2]09.1)
VERIFICATION OF SOS AVAILABILITY (CCR:2T192(3)(a)
VERIFICATION OF HAZ MAY TRAINING (CCR:2792)
1020002
VERIFICATION OF ABATEMENT SUPPLIES &PROCEDURES (CCR:2731(c))
X
EMERGENCY PROCEDURES ADEQUATE (CCR:2731)
1010010
QfCC <O
CONTAINERS PROPERLY LABELED (CCR:86282.34(f),CFC:27015)
3030007
HOUSEKEEPING (GFC: 3(A l)
FIRE PROTECTION (CFC:903 &906 )
.12
SUE DIAGRAM ADEQUATE &ON HAND (CCR: 2]292)
1010005
NY HAZARDOUS WASTE ON SITE? ❑ YES NO
i
d
Plain: T
L Q
POST br.
POST INSPECPION INSTRU DNS: ,/ p �^��)
• Correct the violation(s) noted above by '1 Ci I,
• Within 5 days of connecting all ofNe violations. sign and return a copy of this page to:
Bakersfield Fro, Dept, Prevention Services, 2101 H Strew. California 93301
White - Business Copy Yellow - Station Copy Pink - Prevention Services
Si,. (Nat all violations have been conected as rated)
Date
M2155 (Rev 92017)
F.. �'
3 '
BAKERSFIELD FIRE DEPT.
Prevention Services
r'
2`101 H Street
r r .
UNIFIED PROGRAM INSPECTION 'CHECKLIST °
Bakersfield CA 93301
r
Tel.: (661) 326 -3979
SECTION 1: H'_ zardous Materials Business Plan _r�
Fax: (661) $52 -2171
Inspection
FACILITY NAME.,
INSPECTION DATE
INSPECTION TIME
!
ADDRESS
"
PH'OfE' NO:
NO -OF EMPLOYEES
FACiL'ITY CONTACT.
BUSINESS ID NUMBER
Consent to Inspect'Name/,Title
Section 1..Busrness`•Plan "and tln�ento Pro ram
►Y 9.
ROUTINE . ❑ COMBINED ❑ 'JOINT AGENCY ❑ ;MULTI- AGENCY ❑ COMPLAINT, ❑ : `RE- INSPECTION
C V: c =Compliance OPERATION
C E R S.
V- Violation; I,II`Mirior,
Violation.
�C:OMMENT
#
APPROPRIATE PERMIT ON HAND, (BMC:.15.65.080)
.30100013
td ' '
CERS INFORMATION ENTERED & UPDATED ANNUALLY (CCR: 2729;1)
1010008
' ' l
�►
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
•.
>"
CORRECT OCCUPANCY. (CBC: 401)
VERIFICATION OF INVENTORY MATERIALS , (CCR: 2729:3)
' _1010004,;
�!
VERIFICATION OF QUANTITIES (CCR: 2729.4)
1010004
'.
VERIFICATION OF LOCATION (CCR: 2729.2)
1010005"
PRbPERL SEGREGATION OF MATERIAL" : (CFC: 2704:1)
VERIFICATION OF : :SDS AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING. (CCR: 2732)
1020002 .
VERIFICATION OF'. ABATEMENT SUPPLIES & PROCEDURES (CCR: 2731'(c))
,
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
10 10010`
CONTAINERS PROPERLY LABELED.: (CCR: 66262.34(fl, CFC: 2703.5)
" 3 .
030007`
HOUSEKEEPING ' • . (CFC: 304:1)
FIRE PROTECTION. w (CFC: 903 & 906)
, "'•,
3030032
,
�r V e "
SITE;DIAGRAM ADEQUATE & ON.HAND. ";� .� (CCR: 2729.2)
1010005.
NY HAZARDOUS WA`S•TE ON SITE? ❑ YES ❑ -NO
i natureof
"Recei°
Explain: '
0
�.
Inspector: .. . MA
POST INSP CTION'INSTRUCT10yS:
• Correct the violations), rioted�above by
• Within S days of correcting all of the violations, sign and `retain a copy of this page to: Signature (that all violations have been corrected as noted)
Bakersfield Fire Dept:; Prevention Services, 2.101 H Street, California 93301
Date
White - Prevention Services Yellow = 'Station Copy. Pink = Business Copy
FD2155 (Rev 3/2019)