HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/28/201511QUAKERSFIELD FIRE DEPT.
Prevention Services
F
F.. I L D
UNIFIED PROGRAM INSPECTION CHECKLIST 11 ... ... ..... . 2101 H Street
FIRE
ARTM r
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME t INSPECTION DATE INSPECTION TIME
0, -Z-0
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
� z C, L # —_3
Consent to Inspect Name/Title
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
v
r C=Compliance) OPERATION
V=Violation
COMMENTS
M/
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
L3/
❑
APPROPRIATE PERMIT ON HAND
(BM C: 15.65.080)
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(OCR: 2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
171
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
171
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
171
171
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
171
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
HOUSEKEEPING
(CFC: 304.1)
r-1
r-1
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
I
Si nature of Receipt:
I
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations 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.,, 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)