HomeMy WebLinkAboutBUSINESS PLAN 4/16/2015UNIFIED PROGRAM INSPECTION CHECKLIST
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BAKERSFIELD FIRE DEPT.
Prevention Services
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2101 H Street
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fir� Bakersfield CA 93301
. ...................................... ... ... .......
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
v- C'J_= .1. fz - Fax: (661) 852-2171
FACILITY NAME
V
INSPECTION DATE
INSPECTION TIME
COMMENTS
V-0
ADDRESS M..
PHONE NO
NO OF EMPLOYEES
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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FACILITY CONTACT
(BMC: 15.65.080)
BUSINESS ID NUMBER
Z,
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
Consent to Inspect Name/Title
❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
.......... . ......... ....
... . . . .
n
r
.X
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION
C
V
C=Compliance) OPERATION
COMMENTS
V=Violation
rum
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
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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)
1-0
❑
VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729.3)
,Ej e'
❑
VERIFICATION OF QUANTITIES
(CCR: 2729.4)
❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
❑
SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
A
❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
0'1"'
1:1
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
,0
1:1
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑
HOUSEKEEPING
(CFC: 304.1)
❑
FIRE PROTECTION
(CFC: 903 & 906)
❑
❑
SITE DIAGRAM ADEQUATE &,ON HAND
(CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? p ES ❑
NO
Explain:
9i;gnature of Recei.pt:
F0S'1'1NSFEU'1'10N INSIRUU11ONS FOR JKE'1'1URN-'1'0-U0N1FL1ANUE:
• 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)