HomeMy WebLinkAboutHAZ-BUSINESS PLAN 9/26/2014aTA(
BAKERSFIELD FIRE DEPT.
Preventi on Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 x treet
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHO ENO. r NO OF EMPLOYEES
C IN
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
sq
n�c�r
.......................... .
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ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C v r C= Compliance) OPERATION. COMMENTS
V= Violation
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
-�S ❑ 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)
El SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b)) r
❑ ❑ 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)f
r ❑ HOUSEKEEPING (CFC: 304.1)
❑ ❑ FIRE PROTECTION (CFC: 903 & 906) r
f
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain:
Si nature of Receipt.
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violations) rioted 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 1114)