HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/15/2015BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST F E.j L D 2101 H Street
F1
Baker sfield, CA 93301
AR T
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
El
ADDRESS
PHONE NO.
NO OF EMPLOYEES
5_
till - - 0-E5,41
APPROPRIATE PERMIT ON HAND
FACILITY CONTACT
BUSINESS ID NUMBER
1-7 j K_S
❑
C�s -S
Consent to Inspect Name/Title
El
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
............ .................. ... . . .
M.
ryl ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
El
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
1:1
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
F0
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
El
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
[D
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
El
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
f -9
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
El
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
[D
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
M3,
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
M
❑
HOUSEKEEPING
(CFC: 304.1)
10
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ED YES ❑
NO
Explain-
Sig Nature lof Receipt:
FUSTINSFEU110N ]INSTRUUTIONS VOR RE'1'1URN-'1'0-U0MFL1ANUE:
• 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
z
Signature (that all vio6lons have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)