HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/19/2015BAKERSFIELD FIRE DEPT.
`Prevention Services
A._, E_ - JE
UNIFIED PROGRAM INSPECTION CHECKLIST FI2101 H Street
:.,..
Bakersfield, CA 3
Haz-Mat Business Plan and Inventory Program Tel.. (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
C1? ROUTINE ❑ COMBINED ❑ JOINT AGENCY
INSPECTION DATE
INSPECTION TIME
u
%r
C
ADDRESS Q•'
t C= Compliance) OPERATION
V= Violation
PHONE NO
NO OF EMPLOYEES
Q-
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
FACILITY CONTACT
❑
BUSINESS ID NUMBER
(BMC: 15.65.080)
Consent to Inspect Name /Title
%
V
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
r.
Signature that all violati
• Correct the violation(s) noted above by �4 g ( violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and -feturn 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)
C1? ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT 0 RE- INSPECTION
C
V
t C= Compliance) OPERATION
V= Violation
COMMENTS
Q-
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
1
❑
VERIFICATION OF INVENTORY', MATERIALS
(CCR: 2729.3)
r❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
C7,
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0;~;: ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑-
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
CI=
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
- 17
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
❑
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 'EP
NO
Explain:
-r'
i nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
r.
Signature that all violati
• Correct the violation(s) noted above by �4 g ( violations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and -feturn 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)