HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/5/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
aRT
Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
LabFax: (661) 852 -2171
FACILITY NAME
INSPECTION 'DATE
INSPECTION TIME
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ADDRESS
PH,QNE NO.
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NO.OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
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❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance)
OPERATION
COMMENTS
V= Violation
EL. ❑ VISIBLE ADDRESS (CFC: 505:1; BMC:15.5.2.020)
❑ 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)
ET ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ VERIFICATION OF LOCATION (CCR:. 2729.2)
tFl ❑ PROPER SEGREGATFE'S` ION OF MATERIAL (CFC: 5004.1)
Q ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ;MAT TRAINING (CCR: 2732)
L`1 ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑/ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El, ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
0 ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906)
El ❑ 'SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? 2 YES ❑ NO
E'x p I a i n':
ISignature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: '
• Correct the violation(s) noted above by Signature (that all violations tiave 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 93301
Date
White - Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)