HomeMy WebLinkAboutHAZ-BUSINESS PLAN 11/26/2011 (2)UNIFIED PROGRAM INSPECTION CHECKLIST
Haz-Mat Business Plan and Inventory Program
FACILITY NAME
ADDRESS
37- - r
FACILITY CONTACT
7 A
Donsent to Inspect Na Title
q:" 5 O' rt
'r 1 -0 pl"i
r"'AR BAKERSFIELD FIRE DEPT.
Prevention Services
...- 2101 H Street
T Bakersfield, CA 93301
Tel.: (661) 326 -3979
Fax: (661) 852 -2171
INSPEQTION PATE INSPECTION TIME
1 / I7- C4 C 500
PHONE NO. NO OF EMPLOYEES
BUSINESS ID NUMBER
J, �C- -0z.r -oaf&
CV �
❑ ROUTINE OMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C V
r C= Compliance, OPERATION
l 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)
kY I❑
/
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
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: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
�J ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? YES ❑ NO
Explain: i natu of ReleipAjd-
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 1114)