HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/20/2015g BAKERSFIELD FIRE DEPT.
Prevention Services
13.... F. R.:S. F. i
UNIFIED PROGRAM INSPECTION CHECKLIST FARE ° -' 2101 HStreet
5..::
.. ... .. .. .I r'
a..::. ,.v..:.,,r': iii.: k... v..:.........,. u...».... ....n...:......n ............:�i ^i:............e..rn . L. .
v.u,v:., n... •:5': ?: C: :: .�............ M1..v V•v ..•. � •.w:,v n:•..�::::
'.5i:::n�:..v ..: •.: n,•L5•: {b:.5! +.;:• :2•: R` +.. SY.:. .:::. .� ?n.::.:..:i:;55;5j:Y.5♦':5 }:�
. :.: .. .. n:<h:e: Y n:C�::•:vvY:xw:, '.�:.5;.:i vi n : : .. , v
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program 494F.P1111 Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME INSPECTION' ATE INSPECTION TIME
0
ADDRESS PHONE NO.. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
,.Consent to Inspect Name /Title
A; • 4
�❑ ROUTINE OMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V C= Compliance OPERATION COMMENTS
V= Violation
❑ VISIBLE ADDRESS (CFC: 505.1, BMC:.15.52.020)
❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
NO
❑ D CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H &S 25404(e) r� 4
,jg� ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
❑ VERIFICATION OF QUANTITIES (CCR: 2729:4)
• Correct the violation(s)'noted above by C ?
• 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
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent,in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) ,
❑ 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)
❑° ❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
0 HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
,CI ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
E x p l a i n:
e d
Si nature of Ri t:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s)'noted above by C ?
• 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
Signature (that all violations have been corrected as noted)
Date
White —Business Copy Yellow — Business Copy to be Sent,in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14) ,