HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/27/2015BAKERSFIELD FIRE DEPT.
-'r Prevention Services
B�� E R 5 F I L D
UNIFIED PROGRAM INSPECTION CHECKLIST! 2101 H Street
FIRE
. . . . . . . . . . . . . . . . . . . . . . .
............ A R rJMW T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program X Tel.: (661) 326-3979
7w( (661) 852-2171
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
❑
PHONE NO.
NO OF EMPLOYEES
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
FACILITY CONTACT
1:1
BUSINESS ID NUMBER
-4k
❑
Consent to Inspect Name/Title
ROUTINE 171 COMBINED El JOINT AGENCY MUL I-AGENCY El COMPLAINT El RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
'1111,
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
1:1
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
-4k
❑
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)
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
r7l
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)
"*4*9
❑
FIRE PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES _-'❑� NO
Explain:
Signature of Receipt:, AT
K%J01 VUA R1t!AU1UN-1U-t_U1V1rULAAUb:
• 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 have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)