HomeMy WebLinkAboutHAZ-BUSINESS PLNA 6/22/2016UNIFIED PROGRAM INSPECTION CHECKLIST
Haz -Mat Business Plan and Inventory Program
FACILITY NAME
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ADDRESS tt� jg g
FACILITY CONTACT
Consent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
Prevention Services
R E. R.__ S__ F... i. I.__. �? 2101 H Street
DIRE
ARTM T Bakersfield CA 93301
Tel.: (661) 326 -3979
F^ Fax: (661) 852 -2171
VI SPECTION DATE INSPECTION TIME
PHONE NO�.� NO OF EMPLOYEES
0
BUSINESS ID NUMBER
.......:..:...
"® ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT 0 RE- INSPECTION
C
V
C= Compliance) OPERATION
COMMENTS
V= Violation
x
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
tLf
❑
APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑
16
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
to
F
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES (CCR: 2729.4)
kg�,°
❑
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)
1
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
I'
❑
EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
rw
❑
HOUSEKEEPING (CFC: 304.1)
R
El
)
PROTECTION (CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
WASTE ON SITE? ❑ YES *V NO
ANY HAZARDOUS
i nature of Recei t:
Explain:
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
Signature (that all violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)