HomeMy WebLinkAboutHAZMAT BUSINESS PLAN 10-7-14BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST , FIRE 2101 x Street
}};x
:....:-:.:::.::.... ..... .. ..�.. >, >.,.., v. .. ...:. .. ,.:::..:.w ...::..:.::.:::.:. Tel (661).326-3979
B ers �.e , CA 93301
Haz Mat Business Plan and Inventory Program
Fax: (661) 852 -2171
FACILITY NAME
INSPECTIOP DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
COMMENTS
VISIBLE ADDRESS (CFC: 505.1,..BMC:15- 52.020)
FACILITY CONTACT
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Consent to Inspect Name /Title
❑
ROUTINE -�'- COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY R COMPLAINT ❑ RE- INSPECTION
C V
( ..C= Compliance) OPERATION .
V= Violation
r
COMMENTS
VISIBLE ADDRESS (CFC: 505.1,..BMC:15- 52.020)
iQ ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
I (H &S 25404(e)
LA S—r t1FOA-TE.D 1VQ 2071
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729:3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
01-t]
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
.❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))`
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
HOUSEKEEPING
(CFC: 304.1)
�I ❑
FIRE PROTECTION
(CFC: 903 & 906)
❑.
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
112
Explain:
i nature of Receipt: g
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
r
i
• Correct the violation(s) noted above by j') d ? t
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
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy M2155 (Rev 1/14)