HomeMy WebLinkAboutHAZ-BUSINESS PLAN 3/16/2015C FER S
UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
n ICI 01 If K
r..ARrm BAKERSFIELD FIRE DEPT.
Preventio n Services
.. n 21 Ol H Street
Bakersfield, CA 93301
Tel.: (661) 326 -3979
FACILITY NAME
❑
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
PECTION DATE
INSPECTION TIME
a
ADDRESS
C
PHONE NO.
NO OF EMPLOYEES
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
FACILITY CONTACT
- "` `° ^ `'
❑
BUSINESS ID NUMBER
(BMC: 15.65.080)
�.
❑
Li"
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
c"
Consent to Inspect Name /Title
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
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
✓'r
Signature (that all violations have been corrected as noted)
Date
(&APUDU: SC- TKXSP�T=N)
Pink Prevention Services Copy FD2155 (Rev 1/14)
❑
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
Q MULTI- AGENCY ❑
COMPLAINT ❑ RE- INSPECTION
C
v
r C= Compliance) OPERATION
l V= Violation
COMMENTS
❑
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
0
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
Li"
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
c"
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
❑^
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
F:
❑
El
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El
❑
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)
\❑f'
❑
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)
_
❑ t.
F
❑
FIRE PROTECTION
(CFC: 903 & 906)
'❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑
NO
J
Explain:
Signature of Recei t
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
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
✓'r
Signature (that all violations have been corrected as noted)
Date
(&APUDU: SC- TKXSP�T=N)
Pink Prevention Services Copy FD2155 (Rev 1/14)