HomeMy WebLinkAboutHAZ MAT BUSINESS PLAN 6-10-15I BAKERSFIELD FIRE DEPT.
Prevention Services
tl A E R S, -F I I. p
UNIFIED PROGRAM INSPECTION CHECKLIST FARE 2101 H Street
-.w:.
Bakersfield, CA 93301.
HaZ -Mat Business Platt and Inventory Program Tel.: (661)'326 -3979
Fax: (661) 852 -2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
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COS; -re, e f4 .l "r , Ci' � � f ., it � FI J
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ADDRESS
PHONE NO.?
NO OF EMPLOYEES
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FACILITY CONTACT
BUSINESS ID NUMBER
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onsent to Inspect Name /Title
COMMENTS
•. Correct the violation(s) noted above by _ 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 1114)
ROUTINE ❑ COMBINED ❑ JOINT AGENCY
❑ MULTI- AGENCY
❑ COMPLAINT ❑ . RE-INSPECTION
C
V
( C= Compliiance� OPERATION
V= Violation
COMMENTS
L'!
❑
VISIBLE ADDRESS (CFC: 505. 1, BMC: 15.52.020)
Q
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
E5
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H &S 25404(e)
El'
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
B'�
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
Er
❑
VERIFICATION OF QUANTITIES.
(CCR: 2729.4)
t e
Its K
l
El'
❑
VERIFICATION OF LOCATION
(CCR: 2729:2)
C
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004:1)
0"
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
E!r,
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
0
❑
CONTAINERS, PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
0'J
❑
'HOUSEKEEPING
(CFC: 304.1)
B
'
❑
FIRE PROTECTION
(CFC: 903 & 906)
Of
❑
SITE.DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS
WASTE ON SITE? YES ❑
NO
Explain:
Si nature of Receipt: 1 i _✓
POST INSPECTION INSTRUCTIONS FOR RETURN -TO- COMPLIANCE:
•. Correct the violation(s) noted above by _ 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 1114)