HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/29/2015BAKERSFIELD FIRE DEPT.
.� Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST fl.... FFIRE i n O1 HStreet
.:
21
Y.S }u: �:v::i*Wi:4::a F. a. v�:v,n}:: hi'i :S:nf:.}.ti >: ::;;n. }.... n..:n:.n.S.:..vn . y::Of}.. :.:::: ?it}, }:n >•} %h:a ..:. v..:n.,
:.:4.£t. n..C....:vL6nnn.:. ........., :.W .v
n..v.+e..i. �S.tvh•::.:.u:...cm n,:w. x: }.. ...n.L:..:.}.:.:....f., .:: .: :.x.ti }i:ti•.:.}n F..
f:..: tiw ::SS ::...�f,.,a.:::S.vLu +..:. n, n.,.:. .....n .: :. n•: :. :. n. WI ...... nn.: .. ....
.,:..... }.:.::.,.:.��....:::A:..:.::n.. ..... ....:: ..�..,...::.:.� :.:.....:.:...:. :.:�: Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
V"Ce 2s
FACILITY NAME /' fi INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMP'OYEES
FACILITY CONTACT BUSINESS ID NUMBER
f: "'
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
C V ( C= Compliance) OPERATION COMMENTS
V= Violation
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
s ,»
❑ �,EJ" APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) Of ❑ /n CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) 6L ak k 4 ':_:7y1z
❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
1131"___❑ 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))
,! ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
9 ❑ HOUSEKEEPING (CFC: 304.1)
D ❑ FIRE. PROTECTION (CFC: 903 & 906)
�. ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)) '✓
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
Explain: i natur"f Rec6ijit '. V
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: 1`r
• 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)