HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/27/2015Al
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST } A.._ F...xs, F..r. ` = "� FIRE 2101 H Street
.,«
..;...::;:::: x• >,r.•::....,..,.:.,.::::::• � of � :.':.:;R^. ,c:::': u>:::..
.,..... : :: rc.:::•,•• rtq,;:?;: 3R:;; c;> �:< c• <c;a1 „ >::;;i;4 >:.a:,; :,.s::•:
....:: n: s:::..,. u•:. ?.:,.,,:: ..:xc.:::o�ua::.:v.:,.•:::�:... .:..•.o::. �.,:....::.:.�:.v::. .. .:...... :. :.., ::::�:::,•;:;:•,.:scy:::y:.r:.y
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Aax: el.: (661) 326 -3979
••• /� (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
il Wt
ADDRESS PHONE NO NO OF EMPLOYEES
j }..
FACILITY CONTACT s BUSINESS ID�NUMBER
J
1
e1 r
Consent to Inspect Name /Title
CT ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V ( c= compliance) OPERATION
V= Violation
COMMENTS
,] ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020).
El ❑ /APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
Cl ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
�QEf ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004. )_
-' ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
f ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
y
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑” ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
s
"b ❑ HOUSEKEEPING (CFC: 304.1)
/n ❑ FIRE PROTECTION (CFC: 903 & 906)
;i ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain:
Si nature of Receipt- €j
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
+ Correct the violation(s) noted above by Signature (that all violatio'�s have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: y
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)