HomeMy WebLinkAboutHAZ-BUSINESS PLAN 10/21/2014aRrm BAKERSFIELD FIRE DEPT.
Prevention Services ' UNIFIED PROGRAM INSPECTION CHECKLIST 2101 HStreet
Bakersfield, CA 93301
HaZ -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661)'852-2171
FACILITY NAME
INSPECTION DATE ,
INSPECTION TIME
ADDRESS
PHONE NO.
NO OF EMPLOYEES
'
❑
APPROPRIATE PERMIT ON HAND
FACILITY C_O
BUSINESS 1D NUMBER
❑
j�,TACT
(H &S 25404(e)
onsen Inspect Na e%Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Aj C 0 —rO U P S,,V G. 7S t CAS 'J
I t�
❑
VERIFICATION OF INVENTORY MATERIALS
ix
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❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
t C =Compliance OPERATION
.V= Violation
COMMENTS
. ❑
VISIBLE' ADDRESS (CFC :505.1, BMC:15.52.020)
'
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
Aj C 0 —rO U P S,,V G. 7S t CAS 'J
I t�
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑•
VERIFICATION OF LOCATION
(CCR: 2729.2)
PROPER. SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 272972(3)(b))
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES
(CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731.)
❑ Fr
.CONTAINERS PROPERLY LABELED. (CCR: 66262.34 (f); CFC: 5003.5)
� � � �n`�
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
NY HAZARDOUS WASTE ON SITE? ❑ YES
NO
E x p l a i n:
Signature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE: Correct the violations) noted above by � rte'
'� I t i Si ature (that all violations have been corrected as noted)
• 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 '
Date
White - Business Copy .Yellow - Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)