HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/5/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST."l' 2101 H Street
FIRE
A rN
R r
"LRr N T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326,z"3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
JOINT AGENCY
ROUTINE ❑ COMBINED El
. 1:1 MULTI-AGENCY El COMPLAINT ❑ RE-INSPECTION
C V
u=uompiiance OPERATION
V=Violation
COMMENTS j
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
C,' 171
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
Ep- ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
7 ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
❑ 10
JAW
VERIFICATION OF LOCATION (CCR: 2729.2)
PROPER SEGREGATION OF MATERIAL (CFC: 5004.
�
-bi-, E]
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑" ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
Q- ❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
1:1 EU'.,
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑- ❑
HOUSEKEEPING (CFC: 304.1)
0, ❑
FIRE PROTECTION (CFC: 903 & 906)
[a ❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES !2 NO
Explain:
Signature of Receipt�,_
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by Signature (that all violations have been corrected as
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
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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)