HomeMy WebLinkAboutHAZ-BUSINESS PLAN 4/29/2015UNIFIED PROGRAM INSPECTION CHECKLIST
w, mm.
Haz-Mat Business Plan and Inventory Program
FACILITY NAME INSPECTION DATE INSPECTION TIME
'4
'. I_
+
ADDRESS PHONE NO. NO OF EMPLOYEES
2'o T�\,
FACILITY CONTACT,.., BUSINESS ID NUMBER
Consent to Inspect Name/Title
1
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT El RE-INSPECTION I
C V
r C=Compliance) OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
'10
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
.1R
0 ❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
02f" ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004-1)
4!� ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
1z ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
,0-'n
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
g
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
10
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
,ET ❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ATYES ❑
NO
Explain:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS 11'OR RETURN-TO-COMPLIANUE:
• Correct the violation(s) noted above by
• Within 5 days of c6ftectinga1l 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
Sipaturs (that all vio at
ions have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)