HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/1/2015BAKERSFIELD FIRE DEPT.
A aAN Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 x Street
e
RT
B fi ld CA 9 3301
Bakersfield,
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
,.--. L S Fax: (661) 852 -2171
FACILITY NAME - -- - ° °° f INSPECTION DATE INSPECTION TIME
VL
ADDRESS PHONE NO. NO OF ENAPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
575—
,.
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT 0 RE- INSPECTION
C V
! c= Compliance) OPERATION
l
COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC: 505.1,
BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
�0
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
,;❑ ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
,ET' ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
JAI ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFO: 5004.1)
)D ❑
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))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
2r ❑
HOUSEKEEPING
(CFC: 304.1)
Lit'` ❑
FIRE PROTECTION
(CFC: 903 & 906)
0. ❑
SITE DIAGRAM ADEQUATE & ON HAND
k
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? t9'* ES ❑
NO
Explain:
i nature of Recei t:
YUS'1' 1NS1'EU'1'10N 1NS'1'RUU'1'10NS YOR "TURN- '1'0- U0MYLIANUE:
• 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 violations have been corrected as noted)
r
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)