HomeMy WebLinkAboutBUSINESS PLAN 4/27/2015BAKERSFIELD FIRE DEPT.
Prevention Services
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UNIFIED PROGRAM INSPECTION CHECKLIST I E. ` F-` 2101 H Street
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CAR rff T Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
Y
❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ 1B CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
aW. V,
PHONE NO.
NO OF EMPLOYEES
ADDRESS
JN` ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
M.
A!
,Er' ❑ VERIFICATION OF LOCATION (CCR: 2729-2)
f—,
Er" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
BUSINESS ID NUMBER
-PT ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
FACILITY CONTACT
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
Y_
ED"' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
Consent to Inspect Name/Ti tle
❑ FIRE PROTECTION (CFC: 903 & 906)
,Rr ❑ SITE -DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
......................................
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT 0 RE-INSPECTION
C V C=Compliance) OPERATION
V=Violation
COMMENTS
❑ VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
❑ ❑ APPROPRIATE PERMIT ON HAND (BMC: 15.65.080)
❑ 1B CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e)
aW. V,
❑ ❑ BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ '19 VERIFICX`T I 0N OF INVENTORY MATERIALS (CCR: 2729.3)
JN` ❑ VERIFICATION OF QUANTITIES (CCR: 2729.4)
,Er' ❑ VERIFICATION OF LOCATION (CCR: 2729-2)
f—,
Er" ❑ PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
-PT ❑ SAFETY DATA SHEET AVAILABILITY (CCR: 2729.2(3)(b))
❑ VERIFICATION OF HAZ MAT TRAINING (CCR: 2732)
❑ VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
0. 1:1 EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
ED"' ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑ HOUSEKEEPING (CFC: 304.1)
❑ FIRE PROTECTION (CFC: 903 & 906)
,Rr ❑ SITE -DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE `ON SITE? q,-YES ❑ NO
Explain:
J2e,o,-j0--C
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)