HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/6/2015BAKERSFIELD FIRE DEPT.
Prevention Services
A__._ F. R, S F T L_ A
UNIFIED PROGRAM INSPECTION CHECKLIST FtR.... 2101 H Street
.. O1
Bakersfield, CA 933
B
akers i
Haz-Mat Business Plan and Inventory Program fi` Tel.: (661) 326 -3979
/ Fax: (661) 852 -2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
0 14 r
x
ADDRESS r PHONE NO. NO OF EMPLOYEES
tab �✓ � �' �
FACILITY CONTACT BUSINESS ID NUMBER t t�--
1 3�
Consent to Inspect Name /Title
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT El RE- INSPECTION
C v l C= Compliance OPERATION COMMENTS
V= Violation
❑ VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
El 5- CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) TT�
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)
El ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
n ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
0 ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
b ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
1 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
In ❑ 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: Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted 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 1/14)