HomeMy WebLinkAboutHAZ-BUSINESS PLAN 2015UNIFIED -PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
BAKERSFIELD FIRE DEPT.
Prevention Services
2101 H Sti6&f-
Bakersfield, CA 93301
Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
El
ADDRESS
PHONE NO.
NO OF EMPLOYEES
Z�
FACILITY CONTACT
BUSINESS ID NUMBER
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171
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
Consent to Inspect Name/Title
El
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
El
................................
.........
Im
El 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)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
Z3
171
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
El
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
El
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
E
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
EI
1:1
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
0',
E]
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
R
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
El
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑ �
E-1
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
2f
❑
HOUSEKEEPING
(CFC: 304.1)
Z
❑
FIRE PROTECTION
(CFC: 903 & 906)
,E]
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES
ID", NO
Explain:
ii nature of Receipt:
MUST INSFEC110N 1NS'1'RUU'1'10NS YOR RE'1'UHN-'1'0-00MFL1ANUU:
• 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
Sigidature (that all. violations have been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)