Loading...
HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/28/2015BAKERSFIELD FIRE DEPT. Prevention Services UNIFLED PROGRAM INSPECTIO N CHECKLIST ; 21 tree -Baker aRrN eld CA 9330 sfi , . ..... ....•..��•,�......iness Tel.:..(661) 326 -3979 Haz -Mat BUS Plan and Inventory Program Fax: (661) 852 -2171 .4^i --ZZ0 r ��� INSPE TION DATE INSPECTION TIME FACILITY NAME PHONE NO. NO OF EMPLOYEES ADDRESS j rte... r— BUSINESS ID NUMBER FACILITY CONTACT Consent to Inspect effitle ' ' � 4 E:;:.':' ";� %' "::'.:j � "r• ?:'::`:> ?;i :; ?'; ?:; :`':<:':' i r ?'<':.: e> t:; ? [? 3.;. ::::�'� MM ; :::::::::::::.;:: :::: >:;:•::::......:.:..:..:... ... .. .. .. .... �:»::;' i? i;:: iP:::::?< s4>::.:;;:. i:• itr:::: i; isa ;:: > ><zr:::r;i:;;�: %i; ><;::•;.: ..; ..: � `i`�``si >` < >s `•. € >> sir<€>.> 'i »'r: " ? ='::' €� >`: >'ii # »` >s'<'» �:: i::<:: ir:•: i:<:% s.s E�:::: �:: p,? ��. 1;:.:.,;:; s• Fi:<;, r..;:.::: ar<' E:'ds ;':,•''..,: <s.:: %����f$::' Ei. : �� ........fix *� .:........... ........:::.:...............:.: ,...................::::................,::::........... ....... :::..................... .... . ...... .........:.::................:. ..:............:..`. .. ..:..::,:................::.::.................:::::...............:.:::.:.................:::.:........... .....::::...................... w. ROUTINE Fl. COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT El RE- INSPECTION C V r C= Compliance OPERATION l COMMENTS V= Violation ' ❑'` ❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020) ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080) �❑ .� ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) JD ❑ BUSINESS ,PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1) r{] ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3) f 171 VERIFICATION OF QUANTITIES (CCR: 2729.4) r© p ❑ VERIFICATION OF LOCATION (CCR: 2729.2) ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1) ,[] ❑ 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) ©' ❑ 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 i nature of Recei t: rr Explain: POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:. Signature (that all violations have been corrected as noted) 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 Date FD2155 (Rev 1/14) White — .Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy