HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/12/2015BAKERSFIELD FIRE DEPT.
Wit Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST N 2101 H Street
I FIRE
M.$;X M...%mm M .'z AM r
". ': �$M w..."*-, ":
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
❑ MULTI-AGENCY El COMPLAINT El RE -INSPECTION
6,
7
ADDRESS
PHONE NO
NO OF EMPLOYEES
7000 mt/,,
V
r C=Compliance) OPERATION
V=Violation
FACILITY CONTACT
BUSINESS ID NUMBER
15s", ec_
4 4
Consent to Inspect Name/Title-
• Correct the violation(s) noted above by
• 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
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)
ROUTINE ❑ COMBINED El JOINT AGENCY
❑ MULTI-AGENCY El COMPLAINT El RE -INSPECTION
C
V
r C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
1771
❑
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)
r"I
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
171
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
;EJ
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731 (c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
E]
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC; 5003.5)
0
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? -21 YES ❑
NO
Explain:
Signature of Receipt:__/
'A
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• 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
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)