HomeMy WebLinkAboutHAZ-BUSINESS PLAN 5/13/2015 (2)9
BAKERSFIELD FIRE DEPT.
Prevention Services
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F R S F i 3�
UNIFIED PROGRAM INSPECTION CHECKLIST fl -.. F,
RE 2101 HStreet 7.
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F Bakersfield, CA 93301
Haz -Mat Business Plan and. Inventory Program Tel.: (661) 326 - 3979
Fax:. (661) 852 -2171
FACILITY NAME INSPE TION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name /Title
❑
ROUTINE COMBINED ❑ JOINT AGENCY
❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
i 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)
❑ ,0
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)
E ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
m,,,0' ❑
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)
❑
HOUSEKEEPING
(CFC: 304.1)
,,Er ❑
FIRE PROTECTION
(CFC: 903 & 906)
,,,,0— ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ES ❑
NO
Explain: r�.
i nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
• Correct the violation(s) noted above by (47/ ) Signature (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)