HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN 11-7-14BAKERSFIELD FIRE DEPT.
Prevention Services
F aRS F I D
UNIFIED PROGRAM INSPECTION CHECKLIST '1. -- -- --------- 2101 H Street
FIRE
ARTM T
Bakersfield, CA 93301
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
o
COMMENTS I
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
(BMC: 15.65.080)
Consent to Inspect Name/Title
XK :X
X
Ix:
X:
X
cOMBIN ROUTINE El
El ED ❑ JOINT AGENCYElm ❑ MULTI-AGENCY ❑ COMPLAINT
C
v
C=Compliance) OPERATION
V=Violation
COMMENTS I
5�
171
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
0
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
E&Z'31 1:1
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
[�P
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
OV
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑--)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
de
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
N'
❑
HOUSEKEEPING
(CFC: 304.1)
❑
M
FIRE PROTECTION
(CFC: 903 & 906)
�
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? DYES ❑
NO
Explain:
Si nature of Receipt:
A "OX JLj.1%13X 121%- A 1"114 itilal JNU%- 11"1143 K".M mjrljL U1(IN-1
• Correct the violation(s) noted above by
9im ature (that all V)01 ctiou+a± norr .cte ted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)