HomeMy WebLinkAboutBUSINESS PLAN 4/28/2015ai
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST€ A2101 H Street
A 933
.:.........v� Bakersfield, el
:...,.....:...A�:.. ake s
HaZ -Mat Business Plan and Inventory Program << Tel.: (661) 326 -3979
F 661) 2 -2171
FACILITY NAM
INSPECTION D TE
INSPECTION TIME
ADDRESS ,
`-40 ..
PHONE NO./
/ -/14, /.w: /) -
NO OF EMPLOYEES
0
FACILITY CONTACT
BUSINESS ID NUMBER
COMMENTS
Consent to Inspect Name /Title
`" ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
I
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v C C= Compliance OPERATION
V= Violation
COMMENTS
`" ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
El APPROPRIATE APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑ ❑ @,USINESS 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)
El ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
(7. ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(0)
❑, ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
LJa ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
❑ :E] FIRE PROTECTION (CFC: 903 & 906)
❑ Lr SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES t NO
Explain:
Si nature of Recei t:
L 7
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violations noted above b "�- Signature (that all violations have been corrected as noted)
O Y
• Within 5 days of correcting all of the violation , 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)