HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/4/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST P .............. I P 2101 H Street
FfiR;E
ARTM jAA aRr N r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
(-, L f
Z V C. x
ADDRESS PHONE NO. NO OF EMPLOYEES
!j y 1--,' 3
FACILITY CONTACT -T-,-, BUSINESS ID NUMBER
Lj
Consent to Inspect Name/Title
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14.."ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY 171 COMPLAINT ❑ RE-INSPECTION
C V
C=Compliance) OPERATION
V=Violation
COMMENTS
E�( ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
0/ ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
U/ 171
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
a/❑
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)
❑
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))
ED/ ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
E?' ❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? 34ES ❑
NO
Explain:
As
Signature of Reggipt-
FUSTENSFEUT101 ENSTRUUTIUAS YOR FW1'U"-T0-U(XV1FLJlAAUh:
• 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
V
Signature (that all violations have been corrected, as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)