HomeMy WebLinkAboutINSPECTIONS CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3rd Floor, Bakersfield, CA 93301
FACILITY NAME Atl~c$or~ ~-~t-~'o.{xotx, INSPECTION DATE Icl[Igloo
ADDRESS ~g~l' {3Orr ,S'U' PHONE NO. ~3l' ~qttO' '
FACILITY CONTACT BUSINESS ID NO. 15-210-
INSPECTION TIME NUMBER OF EMPLOYEES ~
Section 1: Business Plan and Inventory Program
[21 Routine [21 Combined [2] Joint Agency [~l Multi-Agency [~ Complaint [~ Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand ~,,
Business plan contact information accurate
Visible address V
Correct occupancy
Verification of inventory materials
Verification of quantities
Verification of location
Proper segregation of material ~' "
/
Verification of MSDS availability
Verification of Haz Mat training
Verification of abatement supplies and procedures
Emergency procedures adequate ~, /
Containers properly labeled
Housekeeping
Fire Protection
Site Diagram Adequate & On Hand
C=Compliance V=Violation
Any hazardous waste on site?: ~Yes [~l No
Explain: tlJn. der: -~ r~ !
Questions regarding this inspection? Please callus at (661,326-3979 B~l~O/s~"S'i[~,l~s'pon~blq. Party
White - Env. Svcs. Yellow - Station Copy Pink - Business Copy l n~spectori ~-~/'~
XERIC OUNT¥ FIRE' 4PARTMENT
HAZARDOUS MATERIALS BUREAU
INSPECTION REPORT
5~2 Vt~or Strmt, 6akersfield, CA 93308 (805) 861-2761
~ EXEMPTION RE-INSPECT[ON COMPLAINT
INSPECTION SU~RY: ANNUAL/ __ ,,
ALL ITEHS OK: [ ] VIOLATZONS NOTED: [ ]
0 - Does Not Apply 1 - In Compliance 2 - Correction Needed 3 - Verbally ~arned
4 - ~,O.V. 5 - Citation 6 - Referred To (Specify)
EMERGENCY RESPONSE PROCEDURES PREVENTION & CLEANUP PROCEDURES
A. Local Agency Notification Plan //~ E. Housekeeping & Work Area Safety
B. Employee Notification & Evacuation/ F. Fire Extinguishers & Fixed Systems
C. Release Mitigation Procedures [ G. Minimization & Cleanup Equipment
D. Emergency Medical Assistance ~ H. Emergency Fire Water Supplies
HAZARDOUS,MATERIALS TRAINING ~ INVENTORY & DIAGRAM VERIFICATION
I. Emp]oy(,e Training Records ~ M. Utility Connections & Shutoffs
J. MSDS Availability & Familiarity ~ N. Aboveground Tank & Container Labeling
K. Personal Protective Equipment ~ O. Quantities, Locations, & Separations
L. Hazardous Material Permits ~ P. Other
Comments: ~
MAY 2 1 1992
KCFD HMCU
Clearance Granted [ Re-Ins ction Required [ ] On / / D.E.
Started ~4:0-7-- Completed \~ : Total Time__: ~J~]~) No. of Facilities
Mi)es on [nspection ~- ' Crinted N,me~~