HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/28/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
FACILITY CONTACT
c_ I
,onsent to Inspect Name/Title
]BIALKERSFIELD FIRE DEPT.
Prevention Services
... .......................
FIRE 2101 H Street
ARTAF Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPECTION DATE INSPECTION TIME
i
051 zz" hts
PHONE NO. NO OF EMPLOYEES
I Z2.
BUSINESS ID NUMBER 1 0-7 1,9
Cl ROUTINE ❑ COMBINED ❑ JOINT AGENCY - ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C
V
u=uompiiance OPERATION
(CCR: 2731)
COMMENTS
V=Violation
(CCR: 66262.34 (f); CFC: 5003.5)
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CFO: 304.1)
E9
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
nN,
1:1
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
0
171
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
EB
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
3 ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
F1, ❑ I VERIFICATION OF LOCATION (CCR: 2729.2)
[3
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
El ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
MI ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
ES
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
El
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
ED
F-1
HOUSEKEEPING
(CFO: 304.1)
13 ❑ FIRE PROTECTION (CFC: 903 & 906)
S ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? El YES ❑ NO %
Explain: Signature of Receipt-
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
/1-1,,
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)