HomeMy WebLinkAboutBUSINESS PLAN 4/1/2015BAKERSFIELD FIRE DEPT.
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Preventi''n ervices
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UNIFIED PROGRAM INSPECTION CHECKLIST 'll 2101 H Street
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LAR Bakersfield, CA 93301
Haz-Mat Business Plan and Inventory Program 44016. Tel.: (661) 326-3979
VC 441 852 -2171 F�_ Fax: ( )
FACILITY NAME
INSPECTION DATE
INSPECTION TIME
COMMENTS
❑
VISIBLE ADDRESS (CFC: 505.1, BMC: 15.52.020)
ADDRESS
PHONE NO.
NO OF EMPLOYEES
(BMC: 15.65.080)
-.31
FACILITY CONTACT
BUSINESS ID NUMBER
(H&S 25404(e)
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Consent to Inspect Name/Title
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
ROUTINE ❑ COMBINED ❑ JOINT AGENCY ❑ MULTI-AGENCY ❑ COMPLAINT ❑ 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)
❑
CERS UPDATED FOR THE CURRENT CALENDAR YEAR
(H&S 25404(e)
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❑
BUSINESS PLAN CONTACT INFORMATION ACCURATE
(CCR: 2729.1)
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VERIFICATION OF INVENTORY MATERIALS
(CCR: 2729-3)
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❑
VERIFICATION OF QUANTITIES
(CCR: 2729-4)
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❑
VERIFICATION OF LOCATION
(CCR: 2729.2)
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❑
PROPER SEGREGATION OF MATERIAL
(CFC: 5004.1)
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SAFETY DATA SHEET AVAILABILITY
(CCR: 2729.2(3)(b))
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❑
VERIFICATION OF HAZ MAT TRAINING
(CCR: 2732)
❑'
❑
VERIFICATION OF ABATEMENT SUPPLIES AND PROCEDURES (CCR:2731 (c))
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❑
EMERGENCY PROCEDURES ADEQUATE
(CCR: 2731)
a
❑
CONTAINERS PROPERLY LABELED (CCR: 66262.34 (f); CFC: 5003.5)
❑'
❑
HOUSEKEEPING
(CFC: 304.1)
3
❑
FIRE PROTECTION
(CFC: 903 & 906)
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❑
SITE DIAGRAM ADEQUATE & ON HAND (CCR: 2729.2 (3))
ANY HAZARDOUS WASTE ON SITE? ❑ YES Z
NO
Explain:
Signature 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)