HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/27/2015aJ BAKERSFIELD FIRE DEPT.
,. Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST aRrN 2101 H Street
v:
Bakersfield, CA
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
_> f Fax: (661) 852 -2171
FACILITY NAME \/ INSPECTION DATE INSPECTION TIME
ADDRESS ., _ PHONE NO. NO OF EMPLOYEES
,,ter•- -- '°s v
FACILITY CONTACT BUSINESS ID NUMBER
a
Consent to Inspect Name /Title '
❑
. . . ....... .
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance OPERATION
COMMENTS
V= Violation
`❑
Y
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
,,)O
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
❑
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)
',
i❑
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
`r
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE piB,!273
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
0'
❑
'HOUSEKEEPING (CFC: 304.1)
❑
❑
FIRE PROTECTION (CFC: 903 & 906)
0
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? C YES ❑ NO
/ r�
Explain:
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by
Signature (that alviolations have been corrected as noted)
• Within 5
days of correcting all of the violations, sign and return a copy of this page to:
-
Bakersfield Fire Dept., Preventobi 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)