HomeMy WebLinkAboutBUSINESS PLAN 4/16/2015UNIFIED PROGRAM INSPECTION CHECKLIST.
Haz-Mat Business Plan and Inventory Program
FACILITY NAME 01 j
ADDRESS 3c
FACILITY CONTACT
Consent to Inspect Name/Title
aRTMjim A
BAKERSFIELD FIRE DEPT.
Prevention Services
F_ R 3 F T_ TP 2101 H Street
FIRE
A rN r
Y Bakersfield, C 301, f
Tel.: (661326 -3979
Fax: (66 1) 171 14
171
INSPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMB�OYEES
1-43
BUSINESS ID NUMBER
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V r C=Compliance) OPERATION COMMENTS
V=Violation
❑ 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) J_
[3�110 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
0 VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)1
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❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (OCR: 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))
Z ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
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❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ 1:1 FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
t -
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain: I Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
Correct the violation(s) noted above by Signature (that all viola ons have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: I v
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)