HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/11/2015PROGRAM UNIFIED INSPECTION
Haz-Mat Business Plan • Inventory Program
FACILITY NAME
k )�
ADDRESS
FACILITY CONTACT
sent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
Prevention Services
R,.S F._I L. _n
FIRE 2101 H Street
ARTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSP CTIO DATE INSPECTION TIME
' ), r-S
PHONE NO. NO OF EMPLOYEES
I n . 11 IBUSINESS ID NUMBER
Q7 ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( u= uompiiance) OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1,
BMC:15.52.020)
❑
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
b
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
�,-� c
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
, ._. C �c. --�
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR. 2729.3
❑
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
❑
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)
❑ ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
U
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 j -- Signature (that all violations, e been c ected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: _ 2 , � r
Bakersfield , Prevention Services, 2101 H Street, California 93301 J
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)