HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/24/2016BAKERSFIELD FIRE DEPT.
Prevention Services
Tri TFS TRZ ";SF I jD
UNIFIED PROGRAM INSPECTION CHECKLIST
I E 2101 H Street
N r Baker sfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
i� Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
8
COMMENTS
�—ro
ADDRESS 'J
PHONE NO.
NO OF EMPLOYEES
,0
&3- 16 09
M7
FACILITY CONTACT
BUSINESS ID NUMBER
,Er
55* 7
Consent to Inspect Name/Title
X:
X X, xx
X
N.
.............
Mr ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
,0
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
,0
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
,Er
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
.ff
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Z
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
-Er
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
4Ef'
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
,a
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
..-5
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
ja
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
RF
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
-2r
❑
HOUSEKEEPING
(CFC: 304.1)
J2,
❑
FIRE PROTECTION
(CFC: 903 & 906)
-B
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ,f 'YES ❑
NO
Explain:
912—nature of ]Receipt:
POST INSPECTION INSTRUUTIONN YOR
• 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
V ,
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)