HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/28/2015. I BAKERSFIELD FIRE-DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST `,X .. F ... ------ R C F..I T...n 2101 H Street
FIRE `
ARTM r Bakersfield, CA
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER °r f`,`
Consent to Inspect Name /Title
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE-INSPECTION.
C V ( C= Comptiance� OPERATION
V= Violation
-COMMENTS
❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
_0" E] SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
El C]" VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ ;CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
E] ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CC R:2731(c))
171_/1 71 VFRIFI(;ATinm nF 011ANTITIF0, (CCR: 2729.4)
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POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by ,fir
• 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)
liate
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)
0--10 VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
_0" E] SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
El C]" VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
At
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CC R:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2131)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
—IQ-El FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? S ❑ NO
Explain:
i natur."f Receipt:'
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by ,fir
• 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)
liate
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)