HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/12/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 x Street
aA
CA 93301
i e1d er f Bakersfield,
... Business Plan and Inventory Program
Tel.: (661) 326 39
HaZ -Mat
Fax: (661) 852 - 2171`_
INSPECTION D TE INSPECT-10N TIME
FACILITYNAME 3
ly
ADDRESS 71 ON" , 1 ,. NO OF Ef LOYEES
r''� ,
BUSINESS ID NUMBER
FAC L,LTY CONTACT
Conse t to Inspect Name /Title
R i � ..AF^ } hll i-11 I
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XX
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C V C= Compliance) OPERATION
COMMENTS
V= Violation
❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
No ❑ 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)
[ ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ 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))
a
L ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
EY ❑ FIRE PROTECTION (CFC: 903 &
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ND
Explain: Si nature. of t5 ,r
Rq 4
"4 a' 1w✓ ird
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:.
• Correct the violation(s) noted above by Signature (that lio OT e been corrected as noted)
the violations. sign and return a.co of this page to:
• Withm 5 days of correcting all of gn pY
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)