HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/23/2015NO � � �� �
K, rAR BAKERSFIELD FIRE DEPT.
Prevention Services
D UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
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Haz -Mat Business Plan-and Inventory Program <I Tel.: (661) 326 -3171
Fax: (661) 852 -2171
FA ILITY`NAME
INSPECTION DATE INSPEC- TIO,,N,TTME
ADDRESS ;
pCEN� NO O,F EMPG O YE ES�
1.
BUSINESS IDrNUMBER
FACILITY CONTACT
M`�
1}+^
V= Violation
Consent to Inspect Name /Title
❑` ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V i C= Compliance, OPERATION
COMMENTS
V= Violation
❑ 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)
'
❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
b ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
I
❑ PROPER SEGREGATION OF MATERIAL (CFG: 5004.1)
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na ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
r
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
0 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
a;.
❑.. ❑ HOUSEKEEPING (CFC: 304.1)
V
F ".
❑` ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
i
ANY HAZARDOUS WASTE ON SITE? ❑ YES n' NO
Explain:
Si nature of ReceilA. I
A
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by Signatur (that alliolations ha e been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to: 1 a
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301 L
Date €
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)