HomeMy WebLinkAboutBUSINESS PLAN 6/12/2015BAKERSFIELD FIRE DEPT.
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Preve ntion
Services
UNIFIED PROGRAM INSPECTION CHECKLIST F ..R ... ... F T L D 2101 H Street FI;E
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Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program 'w411PPI Tel.: (661) 326-3979
Fax: (661) 852-2171
FACILITY NAME I
INSPECTION DATE I
INSPECTION TIME
17
ADDRESS P
PHONE NO. N
NO OF EMPLOYEES
'A
FACILITY CONTACT B
BUSINESS ID NUMBER
Consent to Inspect Name/Title
❑ ROUTINE ❑ COMBINED ❑ JOINT AGENCY . ❑ MULTI-AGENCY ❑ COMPLAINT ❑ RE-INSPECTION I
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)
1:1 ❑ CERS UPDATED FOR THE CURRENT CALENDAR YEAR (H&S 25404(e) ,j
❑ 1:1 BUSINESS PLAN CONTACT INFORMATION ACCURATE (CCR: 2729.1)
❑ ❑ VERIFICATION OF INVENTORY MATERIALS (CCR: 2729.3)
171 ❑ VERIFICATION OF QUANTITIES (CCR: 2729-4)
❑ ❑ VERIFICATION OF LOCATION (CCR: 2729.2)
❑ 171 PROPER SEGREGATION OF MATERIAL (CFC: 5004.1)
❑ ❑ 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))
1:1 ❑ EMERGENCY PROCEDURES ADEQUATE (CCR: 2731)
❑ ❑ CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
17-1 r-1 HOUSEKEEPING (CFC: 304.1)
r-1 ❑ FIRE PROTECTION (CFC: 903 & 906)
❑ ❑ SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES ❑ NO
Explain: Si2nature of Receipt:
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• 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
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)
POST INSPECTION INSTRUCTIONS FOR RETURN-TO-COMPLIANCE:
• Correct the violation(s) noted above by
• 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
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)