HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015F..
BAKERSFIELD FIRE DEPT.
4 Prevention Services
R_... E_R.S F 1. _D
UNIFIED PROGRAM INSPECTION CHECKLIST! FARE 2101 H Street
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Haz-Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO. NO OF EMPLOYEES
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
BUSINESS ID NUMBER
FACILITY CONTACT
❑
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Consent to Inspect Name /Title 1, -
r
eC
L ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
C= Compliance) OPERATION
V =Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
E
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
0'
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
E
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
�"
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
.0`
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
E1
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
11
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
D
❑
HOUSEKEEPING
(CFC: 304.1)
CI'
❑
FIRE PROTECTION
(CFC: 903 & 906)
.E3
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? RYES ❑
NO
Explain
i nature of Receipt: s �,
V
POST INSPECTION 1NSTRU(:TI NS JFOK RETURN-'TU- UVlvlrLtAAUE:
• 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
4
Signature (that all violations have been corrected as noted)
F�Ji,f' }
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)