HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/22/2016BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST', i '...E R 8 F 1. --.-D 2101 H Street
FIRE
ARr r
Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
Al
ADDRESS PHONE No. NO OF EMPLOYEES
7 f> + Q ;,�_ L, �
�_ (_� LA 'Pt 3os -ozl(p (o(.)
FACILITY CONTACT BUSINESS ID NUMBER
1 (-1 A 7
V0.1
�onsent to Inspect Nam Title
. ,�i/ J
I El ROUTINE 1:1 COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C
V
u=uornpuance OPERATION
COMMENTS
V=Violation
'0
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
in
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
1:3
19
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
. t
i
4,
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
0
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
91
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
El
171
VERIFICATION OF LOCATION (CCR: 2729.2)
9
1:1
PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
-,E]
1-1
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
E!
1:1
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)
'IE
❑
HOUSEKEEPING (CFC: 304.1)
❑
FIRE PROTECTION (CFC: 903 & 906)
--Ell
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? U YES ❑ NO
Explain :
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
i
SgnatuV,- (that all violations have been corrected as rioted)
• 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 1/14)