HomeMy WebLinkAboutHAZ-BUSINESS PLAN 7/20/2015aRFN BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield,'CA 93301
Haz -Mat Business Plan and Inventory Program Tel.: (661) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
V
INSPECTION, DATE
INSPECTION TIME
U 5
VW 4 R. IK C
V= Violation
ADDRESS
PHONE NO.
NO OF EMPLOYEES
g�
y
yql
❑
FACILITY CONTACT
M
BUSINESS ID NUMBER
❑
Consent to Inspect Name /Title
(BMC: 15.65.080)
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J.
❑ ROUTINE COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
C
V
r C= Compliance) OPERATION
l
COMMENTS
V= Violation
E
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)
( E' "�=f � '" `r\j t7D
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)uln,�r
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
I�1
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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❑
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))
a❑
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
.
D
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
{o4J, -- t " r-111 _
❑
HOUSEKEEPING
(CFC: 304.1)
t -" w U,(L- 4rl O�N lRir t7i.3 � C_� -(r, .
❑
FIRE PROTECTION
(CFC: 903 & 906)
r
❑:
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES EY
NO
Explain:
Si nature of Rece
POST INSPECTION INSTRUCTIONS FOR RETURN -TO - COMPLIANCE:
• Correct the violation(s) noted above by - �� ``�1 ��.d. " ' . # 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
G Date
White — Business Copy Yellow — Business Copy to be Sent in after return to Compliance Pink Prevention Services Copy FD2155 (Rev 1/14)
CLASS II AND CLASS] VIOLATIONS
Owner /0 erator: - I-\ � � �;
Facility:"." 4 $
Address: ,
CI IMRAAPV n1= VIC)1 A'T1[)NS
Item.
#
Notice Of Violation: Class 11 nd /or Clas4O)Viola.tions were found during this inspection as
noted in the following Summary of Violations.
REQUIREMENT FOR CORRECTION
OF-VIOLATION.
The violations indicated in this inspection report must be corrected within 30 days; unless
l
otherwise noted.
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Formal enforcement will be initiated for al[ Class- Violations, and for any Class l violations not
corrected within the required timeframe. This,report does not represent'that there are no other,.
Violations at this facility. A re - inspection may occur to determine'compliance status.
CI IMRAAPV n1= VIC)1 A'T1[)NS
Item.
#
VIOLATION
REQUIREMENT FOR CORRECTION
OF-VIOLATION.
DATE FOR
- 'CORRECTION
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Inspectors
Signature-,
Received b'-
Phone: -
Print- Name.
Date: .1 o a
Date: _-
KPS #8447
White - Business Copy Yellow — Business Copy to be sent in after Return -to- Compliance Pink - Prevention'Services Copy