HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/17/2015p a. BAKERSFIELD FIRE DEPT.
d: Prevention Services
F R.S F t I_ D
UNIFIED PROGRAM INSPECTION CHECKLIST R FORE 2101 x Street
:.::.::.: :..:..:.:...:...:.......:.:...:.........:... ..............,............:... ........ x .......::.......:.... .:.:::.::.:.::::.v:..:..:::..:. Bakersfield, CA 93341
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INPECTIQN DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
FACILITY CONTACT
BUSINESS ID NUMBER
Consent to Inspect Name /Title
IX...............
!..................._.. .
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY ❑
COMPLAINT ❑ RE- INSPECTION
C
V
( C= Compliance) OPERATION
COMMENTS
V= Violation
El
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
C]�
❑
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)
❑
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004:1)
x
❑
❑
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))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)"
❑
❑
CONTAINERS PROPERLY' LABELED (CCR: 66262.34 (f); CFC: 5003.5)
1
❑
❑
HOUSEKEEPING
(CFC: 304.1)
❑
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
'SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
E x p l a i n:
Si nature of Receipt:
POST INSPE-CTf0N INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
a„
• 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)