HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/24/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST1 2101 H Street
F /RE
AR r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
❑ I
INSRIECTI ION DATE
I
INSRECTI�,PN TIME
t/ 2
ADDRESS
PHONE NO.
NO OF EMPLOYEES
0
FACILITY CONTACT
C
BUSINESS ID NUMBER
C=Compliance) OPERATION
V=Violation
COMMENTS
7
❑
Consent to Inspect Name/Title
❑
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)
❑ I
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
�_M
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
171
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
""D
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
_E1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
1:1
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
1:1
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
171
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731 (c))
13
r-1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
--"[1
❑
CONTAINERS PROPERLY, LABELED (CCR: 66262.34 (f); CFC: 5003.5)
-EL
❑
HOUSEKEEPING
(CFC: 304.1)
-__E1
171
FIRE PROTECTION
(CFC: 903 & 906)
171
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
12v1 ;11
ANY HAZARDOUS WASTE ON SITE? ❑ YES '-El
NO
Explain:
Signature of Receipt:
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)