HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/6/2015BAKERSFIELD FIRE DEPT.
a.....
..
Prevention
Services
UNIFIED PROGRAM INSPECTION CHECKLIST . B -- F ...R .. ;R F ..1. L.. D 2101 H Street
M0= A RT
T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
A L �&,?AIek-
PHONE NO. NO OF EMPLOYEES
ADDRESS BUSINESS ID NUMBER I
FACILITY CONTACT 3 -s' L
lConsent to Inspect Name/Title
0 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC:505.1,BMC:15.52.020)
[3
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
<
ED
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
M
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
b
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
0
❑
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))
12
171
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
M
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
0
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
FA
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
Signature of Receipt:
FUS•INSF•UTIUN INS•RUU-11U.NS k'UJK Kh'I U"- I'V-UUMIMMINUE:
• 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
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)