HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/5/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST A.. „E. R,_S__F..t n 2101 H Street
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Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (6 1) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE ''3NO. +B
NO OF EMPLOYEES
FACIL-tTY CONTACT,
BUSINESS ID NUMBER
Consent to Inspect Name /Title
i.................. .
❑ ;ROUTiIVE ❑ `COMBINED El JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
C
V
C= Compliance) OPERATION
COMMENTS
V= Violation
1
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
11
' ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
}
t
P
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
,
El
a
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
a
❑
a
f
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
z
❑
i
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
i
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
i
Q
I
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
p
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
1
ED
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
f
n
❑
HOUSEKEEPING
(CFC: 304.1)
El a
f
❑
FIRE PROTECTION
(CFC: 903 & 906)
a
El
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
Explain:
i nature 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 �' " "� ~ °"« FD2155 (Rev 1/14)