HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2/13/2015UNIFIED PROGRAM INSPECTION CHECKLIST
laz-Mat Business Plan and Inventory Program
FACILITY NAME I PE TIONDATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
( c= compliance) OPERATION
V= Violation
(CCR: 2729.4)
COMMENTS
❑
. ❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
(CCR: 2729.2)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
(CFC: 5004.1)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)/��
—4q,
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 272
❑
❑
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))
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732) !
❑ ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c)) a _
❑ ❑ 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
Explain: Signature of Receipt:
POSTTgSP�CT INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• 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
lgnature (that all violations have been corrected as noted)
_�77 2 `- 20/5
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)