HomeMy WebLinkAboutHAZ MAT BUSINESS PLANBAKERSFIELD FIRE— DEPT.
Prevention Services
11 r- R S F I L D
UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
FARE.
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rPAN r Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
C
V
ADDRESS
PHONE NO
NO OF EMPLOYEES
V=Violation
FACILITY CONTACT
BUSINESS ID NUMBER
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VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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0,00
Consent to InspeA Name/ I me
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APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)V2
C 0—
C/
El
171
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EL' ROUTINE 1:1 COMBINED ❑ JOINT AGENCY ❑ MULTI - AGENCY El CO PLAINT El RE-INSPECTION
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
0 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 1/14)
C
V
C=Compliance) OPERATION
COMMENTS
V=Violation
E3
El
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Lc s C �
E]
r-1
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)V2
C 0—
C/
El
171
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
El
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
El
❑
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)
E3`11
1-1
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
❑
VERIFICATION OF HAZ MAT TRAINING
(OCR: 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
74
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
El
1771
HOUSEKEEPING
(CFC: 304.1)
74
El
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE & ON HAND`
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑YES
NO
Explain:
ignature of Rece pt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
0 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 1/14)