HomeMy WebLinkAboutHAZ-BUSINESS PALN 5/29/201511
BAKERSFIELD FIRE DEPT.
Prevention Services
R F S F I 1�
........ ...
UNIFIED PROGRAM INSPECTION CHECKLIST" Fr i ;R E 2101 H Street
!N le M K aAT Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
151
PHONE NO. NO OF EMPLOYEES
ADDRESS
4-
FACILITY CONTACT BUSINESS ID NUM . BER
onsent to inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION I
C V C=Compliance) OPERATION
V=Violation
COMMENTS
G. ❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Z, CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
s❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
171 VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR: 2729.2)
0' ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
0 ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
?ff 171 VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑ EMERGENCY PROCEDURES ADEQUATE (OCR: 2731)
ZI ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
0 ❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (OCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? Ir-l"YES ❑ NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
Correct the violation(s) noted above by Signature (that all violations have been corrected as noted)
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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)