HomeMy WebLinkAboutBUSINESS PLAN 5/6/15BAKERSFIELD FIRE DEPT.
Prevention Services
UNIFIED PROGRAM INSPECTION CHECKLIST F S F I
E
11 .... ............ 2 101 H Street
FIRE
A.... E_
R
R rAtlIr Bakersfield, CA 93301
X
Haz-Mat Business Plan and Inventory Program X" Tel.: (661) 326-3979
Fax: (661) 852-2171
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FACILITY NAME INSPECTION DATE INSPECTION TIME
ADDRESS PHONE NO. NO OF EMPLOYEES
FACILITY CONTACT BUSINESS ID NUMBER
Consent to Inspect Name/Title
'El" ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
C
V
C=Compliance) OPERATION
V=Violation
COMMENTS
❑r.�
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
12
❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
0'
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
❑
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
,Er- ❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
13�.
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
0"'o
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
Er
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
,Pr
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
'
❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
g'
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
.13"'
❑
HOUSEKEEPING
(CFC: 304.1)
FIRE PROTECTION
(CFC: 903 & 906)
Z
❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? -0`4YES ❑
NO
Explain:
NJ
Signature of Receipt:
FUSTINSFEC110N INS'I'KUU'1'1()NS YOR XETUF.N-'1'0-U0NWL1LANUE:
• Correct the violation(s) noted above by
• Within 5 days of correcting all of the violations, sip 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)