HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/2/2016 (COPY)BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 11 2101 H Street
FIRE
ARTM F
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME I
INSPECTION DATE I
INSPECTION TIME
ADDRESS P
PHONE NO. N
NO OF EMPLOYEES
J ;LAI�
—)
F
FACILITY CONTACT B
BUSINESS ID NUMBER
7 -
f �
Consent to Inspect Name/Title
ROUTINE . ......... ❑ COMBINED 17-1 JOINT AGENCY ❑ MULTI-AGENCY 171 COMPLAINT ❑ RE-INSPECTION
C V C=Compliance OPERATION COMMENTS
V=Violation
❑ ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
,E] ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Ul ❑ 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 QUANTITIES (CCR: 2729.4)
-E] ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
'FLI ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
ED ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
'El 171 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
`Cl ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
G1 ❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
[] ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2(3))
ANIV HAZARDOUS WASTE ON SITE? ❑ YES El NO
Explain: Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature - ig'aft all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
`Cl ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
G1 ❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
[] ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2(3))
ANIV HAZARDOUS WASTE ON SITE? ❑ YES El NO
Explain: Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature - ig'aft all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)
Explain: Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• 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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Signature - ig'aft all violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)