HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/22/2015BAKERSFIELD FIRE DEPT.
Prevention Services
S F I T, D
.... ......... ...
UNIFIED PROGRAM INSPECTION CHECKLIST F E 2101 H Street
Bakersfield, CA 93301
........... . A T T
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME INSPECTION DATE INSPECTION TIME
gro
ADDRESS PHONE N6. NO OF EMPLOYEES
6_ r"T lei
BUSINESS ID NUMBER
FACILITY Y UUN I AU I
Consent to Inspect Name/Title
C:7
Cl ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C I
V
C=Compliance) OPERATION
COMMENTS
V=Violation
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC: 15.52.020)
;a'
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
rE]
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
0""
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
J131-1-`0
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
"D
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
.E1
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
7.
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
R
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
,E]
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
.-E]
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
,❑
❑
CONTAINERS PROPERLY LABELED •
(CCR: 66262.34 (f); CFC: 5003.5)
-0"
❑
HOUSEKEEPING
(CFC: 304.1)
T1
❑
FIRE PROTECTION
(CFO: 903 & 906)
,❑
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES NO
Explain:
ignature of Receipt:
L
FUNTL)ISFEUTIO.N ENNTRUUTIUNS FOR RETURA-TO-UUNIFLIANUE:
• 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
Signature (that all violations Ove been corrected as noted)
Date
Pink Prevention Services Copy FD2155 (Rev 1/14)