HomeMy WebLinkAboutBUSINESS PLAN 4/16/2015"IN
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST R.2101 HStreet
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME ` INSPECTION DATE INSPECTION TIME
V PHONE NO. NO OF Ew� YEES
ADDRESS ', /4
FACILITY CONTACT
! BUSINESS ID NUMBER
Consent to Inspect Name /Title
I❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
( C= Compliance OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
E ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑` r ❑
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)
Q' ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0 ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
0'r ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
r h! ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
,u ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
3 ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES ❑
uY..
NO
Explain:
,
Signature of Receipt:
1'0S'1' 1NSY1:l T10N 1NS'1'KUU'1'10NS YOR KE'1'URN- '1'0- U0NWLIANUE:
+ 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
✓�'Ci% r _�3+ J, fir.` R°"
Signature (tht al violatios av^ e
been corrected as noted)
/ Cr
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)