The URL can be used to link to this page

Home My WebLink AboutHAZ-BUSINESS PLAN 5/15/2015r ` BAKERSFIELD FIRE DEPT. aA Prevention Services UNIFIED PROGRAM INSPECTION CHECKLIST ? 2101 HStreet CA 9 3301 Bakersfield, Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979 Fax: (661) 852 -2171 FACILITY NAME INSPECTION DATE INSPECTION TIME ADDRESS PHONE NO. NO OF EMPLOYEES .. �' FACILITY CONTACT BUSINESS ID NUMBER Consent to Inspect Name /Title ❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION 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 (that all violations have been corrected as noted) Date Pink Prevention Services Copy ta~M F17M5 (Rev 1114) C v C= Compliance OPERATION V--Violation COMMENTS ❑ VISIBLE ADDRI_SS y (CFC: 505.1, BMC:15.52,020) E ❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) o El,, CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) n❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) ❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) Q VERIFICATION OF QUANTITIES (CCR: 2729.4) t ❑` VERIFICATION OF LOCATION (CCR: 2729.2) © ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) t © ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) 1 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) Q ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) , ® ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731) i ❑ 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)) E NY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO Explain: Signature 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 (that all violations have been corrected as noted) Date Pink Prevention Services Copy ta~M F17M5 (Rev 1114)