HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/17/2016BAKERSFIELD FIRE DEPT.
Prevention Services
A.... F.. R.. S. F: t. T:.
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
F /RE
- a;;:au < ? <cx•:: :c•: :. ::.: :. .: ::::::. :.:::.:.:.:.�::.0 •.•ca: <cc•:xo.<ccr f,; ^'. ...;v:: ::...:.:: :.: ...:::..w. ::.,::::: :cc :.: :::.:.,:;a .. y; :... ,.:
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY.NAME
INSPECTION DATE
INSPECTION TIME
:.:: �:::�.;. ,::...E.'.f::::f
........................
:::.
...............................
ADDRESS
PHONE NO.
NO OF EMPLOYEES
::;;;:
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
.}{
}tee. O! `— d i,..
y1 Cy Ole
r� fi� 4" 1, � 1/ ' V�..i ,� i � �/ � !
�! � µt { 0
D f L.. y. r <:,,,e` � . �:
1
:.:: �:::�.;. ,::...E.'.f::::f
........................
:::.
...............................
E:�:�d:::. F:::Eii: f :.:::: ::.:..::.. .:: <: �1�����` E: `:>i.�'�[��Eii;�. °i'!.`C':Ei'!i ?`.:'<:a` >'' ?'Oii %'.;:�:.:�i o�i� <•; >. `, ES %.�'�':
_.;: . .. .. .. .. . •: :.. .:.i: q. ... '. :.. .. ... ::.. , :' c ..: ". :; : .. o,;:; i?: it `:: ?':!i':: >EEEE >: ": ?'r'i >iS�E: E;'E i %p;:::EiEi.E:: i, ?.'
.. r :: .:::::: :. .::.; >:.: :py;ii'i - . ; .. �:: #i . ;: ;: - ::.: :..;. .::< .:;; :: !` ::: :; >:a::;a::;:;::::. orvos::• s>.::< aa::;:;::;; ;;::;::;;::;: »:.;: <c »: » >::. » >;:
.. .. ...... ..... ((.jj Y, . M "��. .i. �.�.1.�i.:..�.�.�+.�.�.�r. .mow..... P ..._...... ....................�.......... _.._.. ....._.......� ....�................. .
.....� #.�Z�.II`� �.I�. .. � ............. 147.:............ ��17....,............... .
.
::;;;:
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance) OPERATION .
COMMENTS'
V= Violation
�❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
f
❑
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)
C
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
0=
❑
VERIFICATION OF.LOCATION (CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
0
❑
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)
2.
❑
HOUSEKEEPING (CFC: 304:1)
❑
FIRE PROTECTION ` (CFC: 903 & 906)
:❑
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? l YES ❑ NO
r �
Explain:
i na* e,�ofiR cei t:/
/ f .. tz
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:r
• Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
• 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)