HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/29/2015BAKERSFIELD FIRE DEPT.
Prevention Services
F R Is F I
UNIFIED PROGRAM INSPECTION CHECKLIST 1111 C - i - �i� ............ P 2101 H Street
....................... -
Haz-Mat Business Plan and Inventory Program
R rN r
Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852-2171
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
elf
Lo 15
V=Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
1
4
1:1
PHONE NO.
� �?
NO OF EMPLOYEES
�07
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
FACILITY CONTACT
❑
BUSINESS ID NUMBER
❑
V1
Consent to Inspect Name/Titl(�,,
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
I _RT ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C
V
u =uompiancel OPERATION
COMMENTS
V=Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1:1
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
�07
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS (OCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑
VERIFICATION OF LOCATION (CCR: 2729.2)
[D-
❑
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
9�
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
P,-
❑
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
[T
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
t
,ff.,
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
iEf
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
171
HOUSEKEEPING (CFC: 304.1)
t
❑
FIRE PROTECTION (CFC: 903 & 906)
,E
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? ES ❑ NO
X/
Explain:
Signature of Reeeipt:_
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by
Signature (that all violati-5 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 0301
Date
White —Business
Copy Yellow — Business Copy to be Sent in after return to Compli ance Pink Prevention Services Copy FD2155 (Rev 1/14)