HomeMy WebLinkAboutHAZ-BUSINESS PLAN 1/5/2016BAKERSFIELD FIRE DEPT.
Prevention Services
F R S F-.i L 1.
UNIFIED PROGRAM INSPECTION CHECKLIST .' R F,RE 2101 HStreet
ARTM 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
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ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT �} g t BUSINESS ID NUMBER
SO L Acm -
onsent to Inspect Name /Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI- AGENCY ❑ COMPLAINT ® RE- INSPECTION
C V
C= Compliance OPERATION
COMMENTS
V- Violation
❑
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)
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BUSINESS PLAN CONTACT INFORMATIO NACCU�RryA Ec +p
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(CCR: 2729.1)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑°`0`❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
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Erf ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
UT"' ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
EJ ❑
VERIFICATION OF HAZ.MAT TRAINING
(CCR; 2732)
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
f'"" -r�G�
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
.
❑
HOUSEKEEPING
(CFC: 304.1).
❑ ❑
FIRE PROTECTION
(CFC: 903 & 906)
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tom!' ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
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VkZ1, /,e Pa1-
NY HAZARDOUS WASTE ON SITE? ❑ YES ErNo
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Signature of Receipt: `, _, • —._ :.-
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 1/14)