HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/19/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
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BAKERSFIELD FIRE DEPT.
FACILITY NAME '"
INSPECTION D"TE
INSPECTION TIME
❑ COMPLAINT ❑ RE- INSPECTION
".�
ADDRESS
PHONE NO.',!,
NO OF EMPLOYEES
C
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
POST INSPECTION INSTRUCTIONS; FOR RETURN -TO- COMPLIANCE:
• Correct the violation(§) noted above by Signature (that all violations have been corrected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
❑ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance) OPERATION
V =Violation
COM4MENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Eb
❑
/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)
9�
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
NO
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0`,
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑..
❑
VERIFICATION OF HAZ MAT TRAINING
"(CCR: 2732)
CI-
❑
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
.r�.,
#
.❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? i..❑ YES ❑
NO
Explain:
; ..
Signature of ReM t -�
POST INSPECTION INSTRUCTIONS; FOR RETURN -TO- COMPLIANCE:
• Correct the violation(§) noted above by Signature (that all violations have been corrected as noted)
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)