HomeMy WebLinkAboutHAZ-BUSINESS PLAN 11/26/2011UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
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FACILITY CONTACT
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Donsent to Inspect Na Title
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BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPEQTION PATE INSPECTION TIME
1 / I7- C4 C 500
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
J, C- -0z.r -oaf&
CV
ROUTINE OMBINED JOINT AGENCY MULTI - AGENCY COMPLAINT RE- INSPECTION
C V r C= Compliance, OPERATIONl
V= Violation
COMMENTS
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)
kY I 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)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
J EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
HOUSEKEEPING (CFC: 304.1)
FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES NO
Explain: i natu of ReleipAjd-
POST INSPECTION 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
White —Business Copy Yellow — BusinessCopy to be Sent in afterreturn to Compliance
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1114)