HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/28/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Street
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
0511v/ 15
M
ADDRESS
PHONE NO.
NO OF EMPLOYEES
1. q I ice'
/6W - 444;6 -
t4 0
FACILITY CONTACT
BUSINESS ID NUMBER
04 4
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
Consent to Inspect Name/Title
'S
13
M' APFo-�-:S v
BUSINESS PLAN'CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
1 E ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION I
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
M
❑
"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)
13
❑
BUSINESS PLAN'CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
D
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
[3
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)I,_
011
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
FIT
E I
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
El
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
0'
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
E3'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
f
R.,
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
ED"
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
13
❑
HOUSEKEEPING
(CFC: 304.1)
Q.
❑
FIRE PROTECTION
(CFC: 903 & 906)
a
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? M YES ❑
NO
Explain:
§ignature of Receivt: Y
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: P�'-
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 V z a
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)