HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/15/2015aTm BAKERSFIELD FIRE DEPT.
Prevention Ser vices
UNIFIED PROGRAM INSPECTION CHECKLIST I 2101 H Street
A 3301
Bakersfield, eld C 9
Bak s
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
%=- Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS _ PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
C i% A w
®" ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance) OPERATION
V= Violation
COMMENTS
0
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
R
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
-
0
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
-
®
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
3
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑
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)
M
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING (CFC: 304.1)
0
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY
HAZARDOUS
WASTE ON SITE? ❑ YES 0 NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: lee
• 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: 4 '
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
Date �,
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White —Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)