HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/18/2015BAKERSFIELD FIRE DEFT.
UNIFIED PROGRAM INSPECTION CHECKLIST t a�ARM Prevention Services
2101 H Street
Bakersfield, GA 9330.1
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
�= b F, `'
ADDRESS PHONE NO. NO OF EMPLOYEES
' a0(, -7>)J zI 4 V to
FACILITY CONTACT BUSINESS ID NUMBER
Consent t-o Inspect Name /Title
❑ ROUTINE ,,, "COMBINED ❑ JOINT AGENCY 171. MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V r C= Compliance) OPERATION COMMENTS
V= Violation
I-Er ❑ VISIBLE ADDRESS (CFC: 505.1, BMW: 15.52.020)
+ Correct the violation(s) noted above by
• 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
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)
El 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)
❑ 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)
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❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR-W2731)
❑ CONTAINERS PROPERLY LABELED (CCR.: 66262.34 (f); CFC: 5003.5)
❑" ❑ HOUSEKEEPING (CFC: 304.1)
Ile
®° ❑ FIRE. PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? ,,C YES ❑ NO .
Explain:
Si nature o£Re ' t:
POST TNSPF.CTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: !'
+ Correct the violation(s) noted above by
• 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
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)