HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/26/2016UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILITY NAME
BAKERSFIELD FIRE DEPT.
INSR TION TIME
Prevention Services
P____ R_ap F 1. L P
FIRE
2101 H Street
ARTM T
Bakersfield, CA 93301
NO OF EMPLOYEES
Tel.: (661) 326-3979
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APPROPRIATE PERMIT ON HAND
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Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSR TION TIME
U
Ed
ADDRESS
PHONE NO.
NO OF EMPLOYEES
f-le
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
13.
I
FACILITY CONTACT r
BUSINESS ID NUMBER
(H&S 25404(e)
4
Y
1:1
❑
ilz
(CCR: 2729.1)
Consent to Inspect Name/Title
❑
VERIFICATION OF INVENTORY MATERIALS
.................
XXX
X
X,
X
:77,
...... ... ... .
... .......... .. ........
El ROUTINE 11 COMBINED E] JOINT AGENCY El MULTI-AGENCY ❑COMPLAINT ❑RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
Ed
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
13.
I
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
Y
1:1
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
M
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
fi
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
.F71
t
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
121
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION'OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
'171
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
�❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
.❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
Si nature of Re
POS'I'INSPEUTION 1NS'1'R1UC'f10NS YOK KETURN-TO-UUMPLIANUE:
• 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
AlrM.- n;__ 01
Signature (that all violations have been corrected as noted)
Date
Q. r—, PM 1 SS (P — I /I A\