HomeMy WebLinkAboutBUSINESS PLAN 4/16/2015Prevention Services
UNIFIED, PROGRAM INSPECTION CHECKLIST E.1. J P 2101 H Street
FIRE
R rJff r
JA �jff Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
AA
INSPECTION DATE
INSPECTION TIME
—
ADDRESS
PHONE NO
NO OF EMPLOYEES
C
FACILITY CONTACT
BUSINESS ID NUMBER
COMMENTS
R"
❑
Consent to Inspect Name /Title!4
❑
... .... ...
..
❑ I
..... ...... .1 . ... ...
R 0 U T I N E ❑ COMBINED El JOINT AGENCY
❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
v
C=Compliance) OPERATION
V=Violation
COMMENTS
R"
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
[T
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
FiT
171
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
E2"
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
17-1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
El'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Ef
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
0
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
El'
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0"
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
LI 171
FIRE PROTECTION
(CFC: 903 & 906)
O'
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? El"YES ❑
NO
Explain:
Si nature of Receipt:
POS'I'INSFEU11 N 1NS'1'RUU'1'10NS FOR 1KETU N-TUO-C NiPLLkNuE:
• 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 — Business Copy to be Sent in after return to Compliance
.,Signature (that all violaif"Dns have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)