HomeMy WebLinkAboutHAZMAT INSP 2/2008r =- -
- Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST >3 r R s F . n .900 Truxtun Ave:, Suite 210
- FIRE -Bakersfield, CA 93301
• SECTION 1: Business Plan-and lnventory_ Program "erM r Tel.;: (661) 326-3979
. _ ~ Fax: (661) 872-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
CP ~~~®~..,~~, A~~ S r,~.~-~ '~ - ~ ~ 7 ter; ~~
ADDRESS ~ - - - PHONE NO. NO OF EMPLOYEES
160 'S3 A~•=.~. s - 32s"'~f?'~ k"'
FACILITY CONTACT -' BUSINESS ID NUMBER
L.y nl t-~ -T'~.1Z.1 C.U ~ -rtq
15-021-~?!3 /') (p'~
Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V ~ C=Compliance OPERATION
V=Violation C_O_MMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIn2SS PLAN CONTACT INFORMATION ACCURATE
^ -VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^
PROPER SEGREGATION OF MATERIAL /.~p~
F IV~tn ~ I I .
bbe Y 4{ 4,J
Id ^ VERIFICATION OF MSDS AVAILABILITY
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
1
ILI ^ EMERGENCY PROCEDURES ADEQUATE
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE & ON HAND
ANY HAZARDO~U"S~ WASTE ON SITE? LI YES ^ NO
EXPLAIN: (/C/~STi~ O/L~
QUESTIONS REGARDING THIS INSPECTION? PLEASE CALL US AT (667) 326-3979 ~~
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Inspector (Please Print) Fire Prevention / 1'~ In /Shift of Site/Station # Bu ess Site /Responsible Party (Please Print)
White -Prevention Services '~ Yellow -Station Copy Pink -Business Copy ~ FD 2155 (Rev. 09/05
UNIFIED PROGRAM INSPECTION CHECKLIST
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.SECTION 1: Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT
a p Prevention Services
~~iYS 900 Truxtun Ave., Suite 210
~RrN Bakersiield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 872-2171
FACILITY N
A
ME NSPECTION DATE INSPECTION TIME
/
~
(,~~4LIF d nll.~ ~6 ~'Al srS' ~-/ 81700 ~~~5"
ADDRESS HONE NO. O OF EMPLOYEES
/ova rc 3z.r-~ ~ ~'z ~
FACILITY CONTACT USINESS ID NUMBER n/_
15
021
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Section 1: Business Plan and Inventory Program
ROUTINE ^ COMBINED ^ JOINT AGENCY ^ MULTI-AGENCY ^ COMPLAINT ^ RE-INSPECTION
C V (c_compliance) OPERATION
V=violation COMMENTS
^ APPROPRIATE PERMIT ON HAND
^ BUSIr1eSS PLAN CONTACT INFORMATION ACCURATE
^ VISIBLE ADDRESS
^ CORRECT OCCUPANCY
^ VERIFICATION OF INVENTORY MATERIALS
^ VERIFICATION OF QUANTITIES
^ VERIFICATION OF LOCATION
^
^
PROPER SEGREGATION OF MATERIAL
VERIFICATION OF MSOS AVAILABILITY - --
N~~ A ~ FS Q y ~^~ ---
t 1 ~i ~L u
^ VERIFICATION OF HAZ MAT TRAINING
^ VERIFICATION OF ABATEMENT SUPPLIES AND
PROCEDURES
^
EMERGENCY PROCEDURES ADEQUATE _
^ CONTAINERS PROPERLY LABELED
^ HOUSEKEEPING
^ FIRE PROTECTION
^ SITE DIAGRAM ADEQUATE 6 ON HAND '
ANY HAZARDOUS WASTE ON SITE? ^ YES ^ NO
EXPLAIN: ~ _
REGARDING THIS INSPECTION? PLEASE CALL US AT (881) 328-3979
/~1 C L5 ~Ji7. ~~s~ ~ "B
Inspector (Please Print) Fire Prevention / 1„ In / Shift of Site/Station q
P
White - Prwention Serviees Yellow -Station Copy Pink - Business Copy FD2049 (Rw. OZN181
CITY OF BAKERSFIELD FIRE DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
UNIFIED PROGRAM INSPECTION CHECKLIST
1715 Chester Ave., 3ra Floor, Bakersfield, CA 93301
FACILITY NAME ~.~/, ~a, ,n, la g.~To 3/',-'i5, INSPECTION DATE
ADDRESS /Oo /~ ~.t,/~e/, c~7--, PHONENO. ~ o~ _~ % ~O
FAClLITYCONTACT ._-~_/~-e ~'a/oe,~,~.t~a BUSINESS ID NO. 15-210-
INSPECTION TIME ',~ O ~,~ ,,a o ~e ,,~ NUMBER OF EMPLOYEES
Section 1: Business Plan and Inventory Program
.,~ Routine [~l Combined {~ Joint Agency ~ Multi-Agency [~ Complaint ~l Re-inspection
OPERATION C V COMMENTS
Appropriate permit on hand 'X'
Business plan contact information accurate /~
Visible address ~
Correct occupancy ,/~
Verification of inventory materials )~
Verificationofquantities < 0T/,OO ,~o[Io.,,s /~.//~Tf O~ ~
Verification of location X
Proper segregation of material ~
Verification of MSDS availability /x
Verification of Haz Mat training 'K
Verification of abatement supplies and procedures ~,
Emergency procedures adequate ~
Containers properly labeled ~
Housekeeping ~
Fire Protection X
Site Diagram Adequate & On Hand ~
C=Compliance V=Violation
Explain:Any hazardous waste on site?: [~l Yes ~No .~~~ . ...
Questions regarding this inspection: Please call us at (661) 326-39'/9 ~siness Site,J~spons~e Party
White- Env. Svcs. Yellow- Station Copy Pink- Business Copy Inspector: f.~,'/'J~