HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/11/2015BAKERSFIELD FIRE DEPT.
-- Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST R -.. F...R---- ..F...t: -..n 2101 H Street
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
®
ADDRESS d
PH .-NE NO.
NO OF EMPLOYEES
,E]
❑
/APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
r
V
( C= Compliance OPERATION
V= Violation
COMMENTS
®
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
,E]
❑
/APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
.'
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
0Y
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
A
El
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
L!
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
E3
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
u
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
LI
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
C7
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑"
❑
HOUSEKEEPING
(CFC: 304.1)
0
❑
FIRE PROTECTION
(CFC: 903 & 906)
C7
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
Si nature of Receipt:
YVZ5 1 JUN ZNM' U I IVA JUN ,J1 KU1.:11VINN JU VK KL+ 1 UK1V -1 V- 1.;VNIMIA1V l:L+ :
• 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
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy - ,. FD2155 (Rev 1/14)