HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/17/2015BAKERSFIELD FIRE DEPT.
Prevention Ser'vices
F R F !� - D
Ff...§S F I
UNIFIED PROGRAM INSPECTION CHECKLIST.1'.," 2101 H Street
rRFN
FIRE
• A R T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: .(6,61) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
ADDRESS
PHONE NO.
NO OFEMPLOYEES
/\j I u /\j
FACILITY CONTACT
BUSINESS ID NUMBER
AVj
cl? c20 F
Consent to Ip ect N T itle
X _:X
....... :X. 1* M lxxx:`i*�. XX X X.,
. ....... .
ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY .❑ COMPLAINT ❑ RE.-INSPECTION.
C v r C=Compliance) OPERATION
'COMMENTS
V=Violation
VISIBLE ADDRESS (CFO: 5,05.1, BMC: 15.52.020)
'Jl ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
P _76' C451?
El BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2720.1)
❑ VERIFICATION OF INVENTORY MATERIALS (OCR: 27129.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
11 VERIFICATION OF LOCATION (CCR: 2729.2)
❑ PROPER SEGREGATION OF MATERIAL (CFC: 51004.1)
,,E] 'El SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
1].-, 1771 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)
1:1 HOUSEKEEPING (CFC: 304A)
❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3)),
ANY HAZARDOUS WASTE ON SITE? ❑ YES. O NO
Explain:
Signature of Receipt:.
we /1
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: ,.
• Correct the violation(s) noted above by [7 Signature (that all violations have been corrected as noted)
'
• 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
Date
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev. 1114)