HomeMy WebLinkAboutBUSINESS PLAN 4/16/2015BAKERSFIELD FIRE DEPT.
"R;r Prevention Services
K A_a UNIFIED PROGRAM INSPECTION CHECKLIST 2101 H Street
Bakersfield,
N
Haz -Mat Business Plan and Inventory Program << Tel.. (6 1) 326 -3979
Fax: (661) 852 -2171
FACILITY NAME
r C= Compliance OPERATION
l V= Violation
INSPECTION DATE
INSPECTION TIME
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
JZ ❑
APPROPRIATE PERMIT ON HAND
(BMC: 15.65.080)
ADDRESS
❑'' ❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
PHONE NO.
NO OF EMPLOYEES
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
n•0"" ❑
FACILITY CONTACT
(CCR: 2729.3)
BUSINESS ID NUMBER
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑' ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Consent to Inspect Name/Title
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
Er ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
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...........:...:::::...:::::.:::::::::::::.:.............................
..........
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❑ ROUTINE ❑ COMBINED
❑ JOINT AGENCY ❑ MULTI - AGENCY ❑ COMPLAINT ❑ RE- INSPECTION
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
C v
r C= Compliance OPERATION
l V= Violation
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC:15.52.020)
JZ ❑
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)
n•0"" ❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
a" ❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑' ❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
Zl ❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
Er ❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
Ck` ❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731(c))
❑ ❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
Poe
FIRE PROTECTION
(CFC: 903 & 906)
C'
t#^�j
¢`� y 11! y Y
❑ ❑
SITE DIAGRAM ADEQUATE & ON HAND
(CCR: 2729.2 (3))
w
ANY HAZARDOUS WASTE ON SITE? ES ❑
NO
Explain:
6igna ture of Receipt:
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• Correct the violation(s) noted above by 6, • 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)
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