HomeMy WebLinkAboutBUSINESS PLAN 6-24-14LC_
BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST 111-11 13 E R a;S F I TD
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2101 H Street
FIRE
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Bakersfield, CA 93301
Haz -Mat Business Plan and Inventory Program
Tel.: (661) 326-3979
:""Fax: (661) 852-2171
FACILITY NAME w.
INSPECTION DATE
INSPECTION TIME
ev
ADDRESS
PHONE NO.
NO OF EMPLOYEES
COMMENTS
FACILITY CONTACT
BUSINESS ID NUMBER
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
Consent to Inspect Name/Title
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
El. ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34..-(f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
11D ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
13 YES
ANY HAZARDOUS WASTE ON SITE? ' ❑ NO
Pxplain: Si nature of Receipt-
L
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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)
C
V
C=Compliance OPERATION
V=Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
El
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
-7
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
12 4- C 4e
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
Eh ATE"
. R_dR R SEGRE&A-TIeNrOF M RIAL
(CFC: 5004.1)
❑
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.20(b))
❑ ❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
El. ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
El
❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34..-(f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
11D ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
13 YES
ANY HAZARDOUS WASTE ON SITE? ' ❑ NO
Pxplain: Si nature of Receipt-
L
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
White —Business Copy Yellow — Business Copy to be Sent in after return to Compliance
Date
Pink Prevention Services Copy
FD2155 (Rev 1/14)