HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/23/2015UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
FACILITY C,ONTACT,, i
on5 nt to Inspect NaM/Title
BAKERSFIELD FIRE DEPT.
Prevention Services
F. ...S ....F . �:..n 2101 H Street
FIRE
ARTM T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPEdTION dA�T,E INSPECT N TIME
PH ®N NO r ., •. NO OF1 MPLOYEES
B,US1 LESS ID NUMBER q
• 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 (that all Jib ations, have 4een Gerrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)
rV
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
C
V
r C= Compliance) OPERATION
l V= Violation
COMMENTS
M
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
Qom.
El
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Eq�
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
C.
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
•w
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
C
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
Ljy
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
L4
❑
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))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
IJ:
❑
FIRE PROTECTION
(CFC: 903 & 906)
C7
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES 14: NO
Explain:
i nature of Recei' t
,r
a, � e r a 4
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
i W U/ L I . �0 1.zl
• 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 (that all Jib ations, have 4een Gerrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)