HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/7/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
UIV
FACILITY CONTACT
sent to Inspect Name/Title
12 A
EAKERSFIELD FIRE DEPT.
Prevention Services
B F R F I IL jD
.. .......... .. ;E ___ -
F / RE
F. 2101 H Street
rN r
rA R r Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
INSPEQ,T ION j6A�-- INSPECTION TIME
PHONE NOS NO OF
x7 YEES
,,�
!BUSINESS ID NUMBER
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION
C
V
G=Uompliance OPERATION
V=Violation
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
COMMENTS
I/
Mk
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
[9�
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15,65.080)
❑
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑ 171 FIRE PROTECTION (CFC: 903 & 906)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Si nature of Receipt:
❑
❑
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))
❑ ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
13 ❑ HOUSEKEEPING (CFC: 304.1)
❑ 171 FIRE PROTECTION (CFC: 903 & 906)
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES \0" NO
Explain:
Si nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
Signature (t, It all iolations have been corrected as noted)
• Within 5 days of correcting all of the violations, sign and return a copy of this page to:
?� 7/
Bakersfield Fire Dept., Prevention Services, 2101 H Street, California 93301
'_� 1
Date ,
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy
FD2155 (Rev 1/14)