HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/19/2015BAKERSFIELD FIRE DEPT.
Prevention Services
R .. E_ R- S F t T, A
UNIFIED PROGRAM INSPECTION CHECKLIST r FIRE 2101 H Street
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Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHO� E NO. NO OF EMPLOYEES
214 "1
FACILITY CONTACT BUSINESS ID NUMBER
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)
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY
❑ COMPLAINT ❑ RE- INSPECTION
C V
l C= Compliance) OPERATION
V= Violation
COMMENTS
0 ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
cr ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)��
, fs ,1 V�r
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
El' ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
D "' ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0 ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
[D./ ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
t- ❑
FIRE PROTECTION
(CFC: 903 & 906)
' ❑
SITE DIAGRAM ADEQUATE &,ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES E3r NO
Explain:
Si nature of Receipt: L
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)