HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/7/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLISTFRE'
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2101 H Street
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
I �'
ADDRESS PHONE NO. y NO OF EMPLOYEES
41_101 K
FACILITY CONTACT f 1 BUSINESS ID NUMBER
4A M j
Consent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C C= Compliance OPERATION
V =Violation
COMMENTS
❑
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)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
0
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
Lf'
❑
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))
❑'
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
12""
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
i nature of Receipt:
POST iNSFEU110N 1NS'fRUC'1'10Nh FOR KE'1'UKN- '1'0- U0MPLIANUE:
• Correct the violation(s) noted above by - f'
• 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
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)