HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/7/2015Haz-Mat Business Plan and Inventory Program
FACILITY NAME 17
COMMENTS
INSPECTION /DATE
VI
INSPECTION TIME
1771 VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
ADDRESS
62
PHONE N6.
NO OF EMPLOYEES
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
/B- ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
FACILITY CONTACT
BUSINESS ID NUMBER
IT VERIFICATION OF LOCATION (CCR: 2729.2)
60/1
-7
Consent to Inspect Name/Title
j'l
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
i ff ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C V u=uompiiance OPERATION
COMMENTS
V=Violation
1771 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)
AA
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
/B- ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
IT VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
Q, 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)
ff ❑ HOUSEKEEPING (CFC: 304.1)
171 FIRE PROTECTION (CFC: 903 & 906)
'Egli ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ell
ANY HAZARDOUS WASTE ON SITE? ❑ YES 0 NO
Explain: i
Ca, ox ,
Signature of Receipt: \11"
POST INSPECTION INSTRUCTION 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, sip and return a copy of this page to:
Bakersfield Fire Dept., Prevention Services, 2 101 H Street, California 93 301 >
Date
White - Business Copy Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)