HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/19/2015AkAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST' r- R; F I I- T 2101 H Street
1 FIRE
RrN r
X,
jAA aRT N T Bakersfield CA 93301
Haz-Mat Busin6gs Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAM. =
V
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
` 4 / '4 9 4`7,
NO OF EMPLOYEES
2-D
FACILITY CONTACT
ID
BUSINESS ID NUMBER
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Consent to Inspect Name/Title
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
I ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION , I
C
V
C=Compliance)
OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ID
1:1
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e
1A,
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
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))
M/
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731 (c))
10
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
El
❑
CONTAINERS PROPERLY; LABELED (CCR: 66262.34 (f); CFC: 5003.5)
�
❑
HOUSEKEEPING
(CFC: 304.1)
r-1
FIRE PROTECTION
(CFC: 903 & 906)
[Y'
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
NO
Explain:
Signature of Re&iptv
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
Within 5 days of correcting all of the violations, sip and return a copy of this page to:
4", z:'
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)