HomeMy WebLinkAboutHAZ-BUSINESS PLAN 6/24/2016UNIFIED PROGRAM INSPECTION CHECKLIST
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Haz -Mat Business Plan and Inventory Program
FACILITY NAME
5 t j V
ADDRESS
o =%: -
FACILITY CONTACT
Consent to Inspect Name /Title
BAKERSFIELD FIRE DEPT.
`` ., Prevention Services
F/RE 2101 H Street
ARYN T
Bakersfield, CA 93301
Bak 1
Tel.: (661) 326 -3979
�-- Fax: (661) 852 -2171
1 SPECTION DATE INSPECTION TIME
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
44
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
v
l L =Uompliance, OPERATION
V= Violation
COMMENTS
❑
VISIBLE ADDRESS
(CFC: 505.1, BMC:15.52.020)
.E
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e)
C
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
El
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
r ;
`❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
13,
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
Q
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED
(CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
S'
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
t.
ANY HAZARDOUS WASTE ON SITE? ❑ YES 19 NO
Explain:
Si nature of Receipt: w� t 'w yR 4yi
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE: t
• 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
SignatiVe (tVarall violations have been corrected as noted)
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)