HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/7/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
110� BAKERSFIELD FIRE DEPT.
FACILITY NAME
COMMENTS
INSPECTION DATE
INSPECTION TIME
.0
t 'Al ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
[5( ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
PHONE NO.
ol 7
NO OF EMPLOYEES
d'.
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
BUSINESS ID NUMBER
FACILITY CONTACT
E2f ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
UV
Consent to Inspect Name/Title
FI r 11 PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
�' 4^' AA
Z
ROUTINE 171 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C=Compliance) OPERATION
COMMENTS
V=Violation
.0
t 'Al ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
[5( ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
1771 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)
E2f ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
VERIFICATION OF LOCATION (CCR: 2729.2)
FI r 11 PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
Z
❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
x ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
EE ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
X ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? I,YES ❑ NO
Explain:
i Rnature of Recea t I
POST iNspEcTI6NINsTRuCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all viol ons have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: 3=1
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)