HomeMy WebLinkAboutHAZ MAT BUSINESS PLANBAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST >: n 2101 H StreetrXC 3301fieldA9Bak
661) 326 -3979ProramTel.: Haz -Mat Business Plan and Inventory g FaX: (661) ss2- 2171
FACILITY NAME INSPECTIO DATE INSPECTION TIME
i f 00
PHONE NO. NO OF EMPLOYEES
ADD ESS -' ')
d BUSINESS ID NUMBER
FACILITY CONTACT A :°
Consent to Ins9 ect Name /Title
s.: E::.'::':?:`<':<•::{'"`:" '. E:.': f?:;.: :.,::::E ? "E7;:'r':. ?: ?' ?.::::: ..:..::;r,:
H. 1*, ........... ............................... .............................. ............................ ............................... AIL.. ...' ... ........................... ...:...............................:. ............................... ...........:.....:::... ...:........................:.. . Ndlx
ROUTINE COMBINED JOINT.AGENCY MULTI - AGENCY COMPLAINT El
V C C =Compliance OPERATION COMMENTS
V =Violatio.n
VISIBLE ADDRESS (CF.C:505.1, BMC:1ib.52.020)
APPROPRIATE PERMIT ON HAND (BMC: 1 '5.65.080)
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
Fy BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR 2729.1)
VERIFICATION OF, INVENTORY MATERIALS (CCR: 2729.3)
w
VERIFICATION OF QUANTITIES (CCR :'2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
I 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))
J EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY: LABELED (CCR: 66262.34 (f); C.FC: 5003.5)
El HOUSEKEEPING (CFC 304.1)
CFC. 9034 906)
4
FIRE PROTECTION
j [:1 SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES NO
Explain: i nature of cei t:. .
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
Signature (that all violations have been corrected as noted) 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 Date
Yellow — Business Co to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
White — BusinessCopy Copy